Variations in the branching pattern of aortic arch in human fetal heart: A Morphological Study

Guria, Leon R; Rajkumari, Kshemitra; Palani, Sangeetha; Sharma, Garima; Jaishree Devi , Aribam

doi:10.61186/rabms.10.2.178

Volume 10, Issue 2 (4-2024) Journal of Research in Applied and Basic Medical Sciences 2024, 10(2): 178-184 | Back to browse issues page

‎ 10.61186/rabms.10.2.178

Mendeley

Zotero

RefWorks

Guria L R, Rajkumari K, Palani S, Sharma G, Jaishree Devi A. Variations in the branching pattern of aortic arch in human fetal heart: A Morphological Study. Journal of Research in Applied and Basic Medical Sciences 2024; 10 (2) :178-184
URL: http://ijrabms.umsu.ac.ir/article-1-298-en.html

Variations in the branching pattern of aortic arch in human fetal heart: A Morphological Study

Leon R Guria

, Kshemitra Rajkumari

, Sangeetha Palani

, Garima Sharma ^*

, Aribam Jaishree Devi

Assistant Professor, Department of Anatomy, DR RPGMC Kangra at Tanda, HP, India , leonranjoline@gmail.com

Abstract: (574 Views)

Background & Aims: Anatomical variations in the branching pattern of arch of aorta are significant for diagnostic, surgical, and interventional procedures of the thorax and neck, and failure to recognize these patterns may have fatal outcome. Hence the present study aims to determine the percentage and type of aortic arch variations.
Materials & Methods: This cross-sectional study was conducted on 30 formalin-fixed stillborn human fetuses of 35 weeks gestational age and above, in the Department of Anatomy, RIMS, Imphal, Manipur from 2018 to 2020. stillborn human fetuses were collected from the Obstetrics and Gynecology Department of RIMS, Imphal, Manipur, after taking due consent from parent. Fetus with gross abnormality and weighing less than 2.5 kg were excluded. whereas above 2.5 kg weight fetuses were included. The variations in the branching pattern of aortic arch were observed, noted and photographed. The variations were according to the classification by vicurevic et al., 2012.
Results: The classical pattern of three branches of the arch of aorta were seen in 23 (76.66%) cases in the present study. In the remaining 7 (23.33%) cases, two different types of variations were observed with four and two branches arising in five and two cases respectively.
Conclusion: Knowledge of normal anatomy and frequency in the variations in the branching pattern of the arch of aorta in the present study can be of significance for clinicians.

Keywords: Aortic Arch, Brachiocephalic Trunk, Left Common Carotid Artery, Left Subclavian Artery, Left Vertebral Artery

Full-Text [PDF 237 kb] (196 Downloads) | | Full-Text (HTML) (158 Views)

Type of Study: orginal article | Subject: Other

References

1. Goldsher YW, Salem Y, Weisz B, Achiron R, Jacobson JM, Gindes L. Bovine aortic arch: prevalence in human fetuses. J Clin Ultrasound 2020;48(4):198-203. https://doi.org/10.1002/jcu.22800 [DOI:10.1002/jcu.22800.] [PMID]

2. Loukas M, Spratt JD. Gray's Anatomy: The anatomical basis of clinical practice. 40th ed. Edinburgh: Elsevier Churchill Livingston; 2016. [URL]

3. Hollinshead WH. Anatomy for Surgeons: The Thorax, Abdomen and Pelvis. 2nd ed. Harper and Row; 1968. [URL]

4. Moore KL, Persaud TVN, Torchia MG. The developing Human: clinically oriented embryology. 9th ed. Philadelphia: Saunders; 2013. [URL]

5. Babu CS, Sharma V (2015) Two Common Trunks Arising from Arch of Aorta: Case Report and Literature Review of a Very Rare Variation. J Clin Diagn Res 9(7):AD05-7. https://doi.org/10.7860/JCDR/2015/14219.6253 [DOI:10.7860/JCDR/2015/14219.6253.] [PMID] []

6. Kumar A, Mishra A. Anatomical variations in the branching pattern of human aortic arch: A cadaveric study from Nepal. Eur J Anat 2015;19(1):43-7. [Google Scholar]

7. Shiva Kumar GL, Pamidi N, Somayaji SN, Nayak S, Vollala VR. Anomalous branching pattern of the aortic arch and its clinical applications. Singapore Med J 2010;51(11):182-3. [Google Scholar]

8. Gielecki JS, Wilk R, Syc B, Musial-kopiejka M, Piwowarczyk-nowak A. Digital-image analysis of the aortic arch's development and its variations. Folia morphologica 2004;63(4):449-54. [Google Scholar]

9. Grande NR, Costa E, Silva A, Pereiva AS, Aguas AP. Variations in the anatomical organization of the human aortic arch. A study in a Portuguese population. Bull Assoc Anatomists 1995;79(224):19-22. [Google Scholar]

10. Natsis KI, Tsitouridis IA, Didagelos MV, Fillipidis AA, Vlasis KG, Tsikaras PD. Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review. Surg Radiol Anat 2009;31(5):319-323. https://doi.org/10.1007/s00276-008-0442-2 [DOI:10.1007/s00276-008-0442-2.] [PMID]

11. Nelson ML, Sparks CD. Unusual aortic arch variation: distal origin of common carotid arteries. Clin Anat 2001;14(1):62-5. https://doi.org/10.1002/1098-2353(200101)14:1<62::AID-CA1012>3.0.CO;2-# https://doi.org/10.1002/1098-2353(200101)14:1<62::AID-CA1012>3.0.CO;2-# [DOI:10.1002/1098-2353(200101)14:13.0.CO;2-#] [PMID]

12. Satyapal KS, Singaram S, Partab P, Kalideen JM, Robbs JV. Aortic arch branch variations - case report and arteriographic analysis. S Afr J Surg 2003;41(2):48-50. [Google Scholar]

13. Shin Y, Chung Y, Shin W, Hwang S, Kim B. A Morphometric Study on Cadaveric Aortic Arch and its branches in 25 Korean Adults: The perspective of Endovascular surgery. J Korean Neurosurg Soc 2008;44(2):78-83. [DOI:10.3340/jkns.2008.44.2.78] [PMID] []

14. Ogenh'o JA, Olabu. Branching pattern of aortic arch in a Kenyan population. J Morphol Sci 2010;27(2):51-5. [Google Scholar]

15. Moskowitz WB, Topaz O. The implications of common brachiocephalic trunk on associated congenital cardiovascular defects and their management, Cardiol Young 2003;13(6):537-43. [DOI:10.1017/S1047951103001136] [PMID]

16. Lale P, Toprak U, Yagiz G, Kaya T, Uyanik SA. Variations in the Branching Pattern of the Aortic Arch Detected with Computerized Tomography Angiography. Adv Radiol 2014; 969728. [DOI:10.1155/2014/969728]

17. Pandian DK, Radha K, Sundaravadhanam KVK. Study on Branching Pattern of Arch of Aorta in South Indian Population. Int J Anat Rec 2014;2(4):673-6. [DOI:10.16965/ijar.2014.522]

18. Mata-Escolano F, Aparicio-Bellver L, Martinez-Sanjunan V, Sanchis-Gimeno JA. Aortic branch variations: An anatomical study in 900 subjects. Sci Res Essays 2012;7(25):2213-7. [DOI:10.5897/SRE11.1876]

19. Makhanya NZ, Mamogale RT, Khan N. Variations of the left aortic arch branches. SA J Radiol 2004;8(4):10. [DOI:10.4102/sajr.v8i4.102]

20. Budhiraja V, Rastogi R, Jain V, Bankwar V, Raghuwanshi S. Anatomical Variations in the Branching Pattern of Human Aortic Arch: A Cadaveric Study from Central India. ISRN Anat 2013; 828969. [DOI:10.5402/2013/828969] [PMID] []

21. Nayak SR, Pai MM, Prabhu LV, D'Costa S, Shetty P. Anatomical organization of aortic arch variations in the India: embryological basis and review. J Vasc Bras 2006;5(2):95-100. [DOI:10.1590/S1677-54492006000200004]

22. Ramasamy SK, Ramasamy C. Clinically relevant variations in the branching pattern of arch of aorta-research article. International journal of clinical and Development Anatomy 2019;5(1):8-11. [DOI:10.11648/j.ijcda.20190501.12]

23. Sawant SP, Rizvi S. Cadaveric study of branches of arch of aorta. Int J Anat Res 2017;5(2.3):4024-9. [DOI:10.16965/ijar.2017.278]

24. Sikka A, Jain A. Bilateral variation in the origin and course of the vertebral artery. Anat Res Int 2012;580765. https://doi.org/10.1155/2012/580765 [DOI:10.1155/2012/580765.] [PMID] []