Association of variant aortic arch anatomy with aortic diseases (reprint)
Abstract
Aim: to assess the association between the common origin of the brachiocephalic trunk and the left common carotid artery (bovine arch branching pattern) with aortic diseases.
Material methods: a retrospective review of 194 medical records of patients who underwent surgical treatment of aortic dissection or ascending aneurysm between 2017 and 2021 were conducted. Patients were divided into two groups based on aortic arch anatomy: Group 1 included patients with a common origin of the brachiocephalic trunk and the left common carotid artery (bovine arch), and Group 2 included patients with a normal aortic arch anatomy without anomalies. Clinical and demographic data, echocardiographic findings, and radiological imaging data were analyzed for both groups.
Results: thoracic aortic aneurysm was detected significantly more frequently in Group 1 patients compared to Group 2 (100% vs. 80.1%, p=0.021). No cases of aortic dissection were found in the bovine arch group.
Conclusion: the common origin of the brachiocephalic trunk and the left common carotid artery (bovine arch) is associated with a higher incidence of thoracic aortic aneurysm.
About the Authors
B. N. Kozlov
The Scientific Research Institute of Cardiology of the FSBSI «Tomsk National Research Medical Center of the RAS»; Department of Hospital Surgery with a course in cardiovascular surgery, Siberian State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Boris N. Kozlov – M.D., Ph.D., Head of the Department of Cardiovascular Surgery at The Scientific Research Institute of Cardiology; Professor at the Department of Hospital Surgery with the Course of Cardiovascular Surgery
111a, Kievskaya Str., Tomsk, 634012
2, Moskovsky trakt, Tomsk, 634050
D. S. Panfilov
The Scientific Research Institute of Cardiology of the FSBSI «Tomsk National Research Medical Center of the RAS»; Department of Hospital Surgery with a course in cardiovascular surgery, Siberian State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Dmitri S. Panfilov – M.D., Ph.D., Senior Researcher at the Department of Cardiovascular Surgery; Assistant at the Department of Hospital Surgery with the Course of Cardiovascular Surgery
111a, Kievskaya Str., Tomsk, 634012
2, Moskovsky trakt, Tomsk, 634050
E. A. Petrakov Petrakova
The Scientific Research Institute of Cardiology of the FSBSI «Tomsk National Research Medical Center of the RAS»
Russian Federation
Russian Federation
Elizaveta A. Petrakova – M.D., Resident at the Department of Cardiovascular Surgery
111a, Kievskaya Str., Tomsk, 634012
References
1. Layton K.F., Kallmes D.F., Cloft H.J., et al. Bovine Aortic Arch Variant in Humans: Clarification of a Common Misnomer. American Journal of Neuroradiology 2006; 27(7):1541-1542.
2. Yousef S., Singh S., Alkukhun A., Alturkmani B., et al. Variants of the aortic arch in adult general population and their association with thoracic aortic aneurysm disease. J Card Surg. 2021; 36(7):2348-2354. DOI: 10.1111/ jocs.15563
3. Susanin N.V., Odintsov N.S., Vanyurkin A.G., et al. Endovascular aortic arch surgery: a single center experience. Russian Journal of Endovascular Surgery 2022; 9(1):38–44 DOI: 10.24183/2409-4080-2022-9-1-38-44 [In Russ].
4. McElhinney D.B., Thompson L.D., Weinberg P.M., et al. Surgical approach to complicated cervical aortic arch: anatomic, developmental, and surgical considerations. Cardiol Young. 2000;10(3):212-9.
5. Cinà C.S., Althani H., Pasenau J., et al. Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004 Jan;39(1):131- 9.
6. Kozlov B.N., Panfilov D.S., Saushkin V.V., et al. Hybrid treatment of aortic dissection associated with Kommerell's diverticulum. Interact Cardiovasc Thorac Surg. 2016; 22(6):8545. DOI: 10.1093/icvts/ ivw031
7. Goldsher Y.W., Salem Y., Weisz B., et al. Bovine aortic arch: Prevalence in human fetuses. J Clin Ultrasound. 2020;48: 198–203.
8. Hornick M., Moomiaie R., Mojibian H., et al. 'Bovine' aortic arch - a marker for thoracic aortic disease. Cardiology. 2012;123(2):116-24. DOI: 10.1159/000342071
9. Shadanov A.A., Sirota D.A., Bergen T.A., et al. Anatomical variability in the structure of the arch and thoracic aorta and its influence on aorta related pathological conditions. Circulation Pathology and Cardiac Surgery 2020; 24(4):72–82 DOI: 10.21688/1681-3472-2020-4-72-82 [In Russ].
10. Abugov S.A., Polyakov R.S., Karamyan D.A., et al. Modern condition of the problem of endovascular treatment in type B aortic dissection. Russian Journal of Endovascular Surgery 2021; 8(2):121-34. DOI: 10.24183/2409-4080-2021-8-2-121-134 [In Russ].
11. Dumfarth J., Chou AS., Ziganshin BA., et al. Atypical aortic arch branching variants: a novel marker for thoracic aortic disease. The Journal of thoracic and cardiovascular surgery. 2015; 149(6):1586-92.
12. Wanamaker K.M., Amadi C.C., Mueller J.S., et al. Incidence of aortic arch anomalies in patients with thoracic aortic dissections. J Card Surg. 2013; 28(2):151-4. DOI: 10.1111/jocs.12072
13. Moorehead PA., Kim AH., Miller CP., et al. Prevalence of Bovine Aortic Arch Configuration in Adult Patients with and without Thoracic Aortic Pathology. Ann Vasc Surg. 2016; 30:132-7.
14. Mylonas S.N., Barkans A., Ante M., et al. 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.Eur J Vasc Endovasc Surg. 2018; 55(3): 385-391. DOI: 10.1016/j.ejvs.2017.12.005
Review
For citations:
Kozlov B.N., Panfilov D.S., Petrakova E.A. Association of variant aortic arch anatomy with aortic diseases (reprint). Minimally Invasive Cardiovascular Surgery. 2025;1(4):27-32. (In Russ.)
Views:
14
Email this article 