Association of Variant Arch Anatomy with Aortic Diseases
Abstract
Aim: To assess the association of the common origin of the brachiocephalic trunk and the left common carotid artery (a bovine arch branching pattern) with aortic diseases.
Methods: 194 medical records of patients undergoing surgical treatment of aortic dissection and ascending aneurysm in the period from 2017 to 2021 were retrospectively reviewed. All patients were divided into 2 groups based on the anatomy of the aortic arch: patients with the common origin of the brachiocephalic trunk and the left common carotid artery (a bovine arch branching pattern) were assigned to Group 1, whereas patients without any anomalous origins of the supra-aortic vessels were assigned to Group 2. Clinical and demographic data, echocardiographic findings, and radiologic images were analyzed in both groups.
Results: Thoracic aortic aneurysm was more commonly detected significantly in Group 1 patients compared to those who did not have any abnormalities of the aortic arch (100% vs. 80.1%, p=0,021, respectively).
Conclusion: The common origin of the brachiocephalic trunk and the left common carotid artery have been associated with a higher incidence of thoracic aortic aneurysms.
About the Authors
B. N. Kozlov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; Department of Hospital Surgery with the Course of Cardiovascular Surgery, Siberian State Medical University
Russian Federation
Russian Federation
Kozlov Boris N., M.D., Ph.D., Head of the Department of Cardiovascular Surgery, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; Professor at the Department of Hospital Surgery with the Course of Cardiovascular Surgery, Siberian State Medical University
111a Kyivskaya St., Tomsk, 634012
2 Moscow tract, Tomsk, 634050
D. S. Panfilov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; Department of Hospital Surgery with the Course of Cardiovascular Surgery, Siberian State Medical University
Russian Federation
Russian Federation
Panfilov Dmitri S., M.D., Ph.D., senior research at the Department of Cardiovascular Surgery, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; assistant at the Department of Hospital Surgery with the Course of Cardiovascular Surgery, Siberian State Medical University
111a Kyivskaya St., Tomsk, 634012
2 Moscow tract, Tomsk, 634050
E. A. Petrakova
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
lizaveta A. Petrakova, M.D., resident at the Department of Cardiovascular Surgery
111a Kyivskaya St., Tomsk, 634012
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Review
For citations:
Kozlov B.N., Panfilov D.S., Petrakova E.A. Association of Variant Arch Anatomy with Aortic Diseases. Minimally Invasive Cardiovascular Surgery. 2023;2(1):18-23. (In Russ.)
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