BOVINE AORTIC ARCH: CASE REPORT
DOI:
https://doi.org/10.56238/arev7n10-153Keywords:
Bovine Arch, Aortic Arch, Variation, CadaverAbstract
The bovine aortic arch is the most common variant in aortic arch anatomy. Recent imaging studies indicate that this variant is present in 10–20% of the population, although cadaveric studies have reported a prevalence ranging from 11% to 27%. Our study aimed to report a case of bovine arch in a plastinated heart. During a routine dissection of the cardiac base vessels, an anatomical variation of the aortic arch, the bovine arch, was observed. In our study, the bovine arch originated from the left lateral aspect of the brachiocephalic trunk, marking the first time this aortic arch pattern was observed in our anatomical collection. Therefore, a deeper understanding and continuous monitoring of these anomalies not only increase the knowledge of healthcare professionals but are also crucial to avoid misdiagnosis and inappropriate treatment choices.
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References
Çetin, İ., Çilingiroğlu, M., & Özgür, S. (2009). Common trunks of the subclavian and vertebral arteries: Presentation of a new anomaly of the aortic arch. Annals of Vascular Surgery, 23(1), 142–143. https://doi.org/10.1016/j.avsg.2008.05.006
Celikyay, Z. R. Y., Koner, A. E., Celikyay, F., Denız, C., Acu, B., & Firat, M. M. (2013). Frequency and imaging findings of variations in human aortic arch anatomy based on multidetector computed tomography data. Clinical Imaging, 37(6), 1011–1019. https://doi.org/10.1016/j.clinimag.2013.07.008
Cheng, Z., Tan, F., Wang, Y., Chen, Z., & Liu, H. (2013). Initial findings and potential applicability of computer simulation of the aorta in acute type B dissection. Journal of Vascular Surgery, 57(2, Suppl.), 35S–43S. https://doi.org/10.1016/j.jvs.2012.10.108
Dumfarth, J., Chou, A. S., Ziganshin, B. A., Rajbanshi, B. G., Tranquilli, M., & Elefteriades, J. A. (2015). Atypical aortic arch branching variants: A novel marker for thoracic aortic disease. The Journal of Thoracic and Cardiovascular Surgery, 149(6), 1586–1592. https://doi.org/10.1016/j.jtcvs.2015.02.019
Ebner, L., Huber, A., & Christe, A. (2013). Right aortic arch and Kommerell’s diverticulum associated with acute aortic dissection and pericardial tamponade. Acta Radiologica Short Reports, 2(1), 1–3. https://doi.org/10.1258/arsr.2012.120013
Hornick, M., Moomiaie, R. M., Mojibian, H., Ziganshin, B. A., Almuwaqqat, Z., & Elefteriades, J. A. (2012). ‘Bovine’ aortic arch—A marker for thoracic aortic disease. Cardiology, 123(2), 116–124. https://doi.org/10.1159/000342071
Jakanani, G. C., & Adair, W. (2010). Frequency of variations in aortic arch anatomy depicted on multidetector CT. Clinical Radiology, 65(6), 481–487. https://doi.org/10.1016/j.crad.2010.02.005
Mylonas, S. N., Barkans, A., Ante, M., Wippermann, J., Böckler, D., & Geisbüsch, P. (2018). Prevalence of bovine aortic arch variant in patients with aortic dissection and its implications in the outcome of patients with acute type B aortic dissection. European Journal of Vascular and Endovascular Surgery, 55(3), 385–391. https://doi.org/10.1016/j.ejvs.2017.12.005
Natsis, K. I., Tsitouridis, I. A., Didagelos, M. V., Fillipidis, A. A., Vlasis, K. G., & Tsikaras, P. D. (2009). Anatomical variations in the branches of the human aortic arch in 633 angiographies: Clinical significance and literature review. Surgical and Radiologic Anatomy, 31(5), 319–323. https://doi.org/10.1007/s00276-008-0443-0
Nayak, S. R., Pai, M. M., Vadgaonkar, R., Prabhu, L. V., & Krishnamurthy, A. (2006). Anatomical organization of aortic arch variations in India: Embryological basis and review. Jornal Vascular Brasileiro, 5(2), 95–100. https://doi.org/10.1590/S1677-54492006000200004
Nelson, M. L., & Sparks, C. D. (2001). Unusual variation of the aortic arch: Distal origin of the common carotid arteries. Clinical Anatomy, 14(1), 62–65. https://doi.org/10.1002/1098-2353(200101)14:1<62::AID-CA1010>3.0.CO;2-Y
Pimenta, H. B., & Assad, M. M. (2024). Arco aórtico bovino. In Variações anatômicas: O avanço da ciência no Brasil (Vol. 5, pp. 10–16). Editora Científica Digital.
Resende, L. F. (2023). Bilateral origin of vertebral arteries in the aortic arch in the heart of the collection of the State University of Amazonas: A case report [Doctoral dissertation, State University of Amazonas]. Institutional Repository of State University of Amazonas.
Rizzo, J. A., Chen, J., Fang, H., & Ziganshin, B. A. (2014). Statistical challenges in identifying risk factors for aortic disease. Aorta, 2(2), 45–55. https://doi.org/10.12945/j.aorta.2014.14-002
Shalhub, S., Schäfer, M., Hatsukami, T. S., Sweet, M. P., & Majesky, M. W. (2018). Association of variant arch anatomy with type B aortic dissection and hemodynamic mechanisms. Journal of Vascular Surgery, 68(6), 1640–1648. https://doi.org/10.1016/j.jvs.2018.03.408
Wanamaker, K. M., Amadi, C. C., Mueller, J. S., & Moraca, R. J. (2013). Incidence of aortic arch anomalies in patients with thoracic aortic dissections. Journal of Cardiac Surgery, 28(2), 151–154. https://doi.org/10.1111/jocs.12074
