Motomura Mayuko, Watanabe Koichi, Tabira Yoko, Iwanaga Joe, Matsuuchi Wakako, Yoshida Daichi, Saga Tsuyoshi, Yamaki Koh-Ichi
Medical Student, Kurume University School of Medicine.
Department of Anatomy, Kurume University School of Medicine.
Kurume Med J. 2018 Apr 27;64(3):69-73. doi: 10.2739/kurumemedj.MS643004. Epub 2018 Mar 16.
We encountered a case of duplicated right vertebral artery during an anatomical dissection course for medical students in 2015. Two vertebral arteries were found in the right neck of a 91-year-old female cadaver. The proximal leg of the arteries arose from the area between the right subclavian artery and the right common carotid artery that diverged from the brachiocephalic artery. The distal leg arose from the right subclavian artery as expected. The proximal leg entered the transverse foramen of the fourth cervical vertebra and the distal leg entered the transverse foramen of the sixth cervical vertebra. The two right vertebral arteries joined to form one artery just after the origin of the right vertebral artery of the brachiocephalic artery entered the transverse foramen of the fourth cervical vertebra. This artery then traveled up in the transverse foramina and became the basilar artery, joining with the left vertebral artery. We discuss the embryological origin of this case and review previously reported cases.
2015年,在一次面向医学生的解剖学课程中,我们遇到了一例右侧椎动脉重复的病例。在一位91岁女性尸体的右颈部发现了两条椎动脉。动脉的近端分支起源于右锁骨下动脉和从头臂干分出的右颈总动脉之间的区域。远端分支如预期那样起源于右锁骨下动脉。近端分支进入第四颈椎的横突孔,远端分支进入第六颈椎的横突孔。在头臂干的右侧椎动脉起源处进入第四颈椎横突孔后,两条右侧椎动脉立即汇合形成一条动脉。然后这条动脉在横突孔中向上走行,成为基底动脉,并与左侧椎动脉汇合。我们讨论了该病例的胚胎学起源,并回顾了先前报道的病例。