The right vertebral artery most commonly originates as the first branch of the right subclavian artery. Although anatomical variants of the aortic arch are commonly encountered on cross-sectional imaging, certain variants of the right vertebral artery are exceedingly rare. In this report, we present 3 cases of aberrant right vertebral artery arising as the last branch of the aortic arch, a very...

Case report A 34 year old female outpatient presented with a 4 week history of vertigo and amaurosis fugax of her right eye. Physical examination showed arterial bruits in both subclavian regions, and reduced pulses of both radial and brachial arteries and right carotid artery. There was no significant blood pressure diVerence between the arms (right arm 95/85 mm Hg; left arm 100/90 mm Hg). Ery...

Aortic anomaly in which a right-sided aortic arch associated with Kommerell's diverticulum and aberrant left subclavian artery is rare. The present report describes a patient with type-B aortic dissection accompanying aortic anomalies consisting of right-sided aortic arch and the left common carotid and left subclavian artery arising from Kommerell's diverticulum. As dissecting aortic aneurysm ...

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether the left subclavian artery may be safely covered with a descending thoracic aortic stent without a prior carotid-subclavian artery bypass or transposition procedure. Altogether 2612 abstracts were identified. Forty-five non-randomized control trials and 213 non-controlled ...

The retro-oesophageal right subclavian artery is an anatomical abnormality encountered by anatomists and pathologists and, more recently, interventional cardiologists and thoracic surgeons with an incidence of 0.2-2% in the population. We report a case of a retrotracheal right subclavian artery which originated distally along the left aortic arch and coursed between the trachea and the oesophag...

To cite: Hefton S, Bogush N, Crawford RS, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015210274 DESCRIPTION Awoman in her 70s was found lying prone, with an ST-elevation myocardial infarction and in cardiogenic shock. She was obtunded, answering ‘No’ to all questions, and was observed to have anisocoria with a pinpoint right pupil, 5 mm left pupil, dec...

Right aortic arch with Kommerell's diverticulum is a very rare situation. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. However planning the strategy of operation is difficult without a 3D imaging. We report a case of a 57-year-old man with right aortic arch, Kommerell's diverticulum, and aberrant left subclavian artery. After a 3...

We present a case of an arch anomaly in a 54-year-old female who was admitted to our hospital for magnetic resonance angiography (MRA) to evaluate her right-sided numbness. MRA revealed a truncus bicaroticus, right common carotid artery (CCA) originating right vertebral artery, right subclavian artery arising as the final branch of the descending aortic arch and arch originating left vertebral ...

introduction: vertebral arteries arise from the root of the neck as the first branches from the superior-posterior aspect of the subclavian arteries. they ascend the neck to enter the cranial cavity and supply blood to the brain. methods: a total of 20 cadavers (in 10 years) were dissected for the study of variations in the origin of the vertebral artery. this study was conducted in isfahan uni...