Ishikawa Kojiro, Yamanouchi Takashi, Mamiya Takashi, Shimato Shinji, Nishizawa Toshihisa, Kato Kyozo
Department of Neurosurgery, Kariya Toyota General Hospital, Kariya, Japan.
J Vasc Interv Neurol. 2018 Nov;10(2):25-27.
An anomalous origin of the right vertebral artery is rare. The left vertebral artery from the aortic arch is where most of the anomalies occur. The next is an origin of the right vertebral artery from the right common carotid artery in association with the aberrant right subclavian artery. However, independent anomalous origin of the right vertebral artery from the right common carotid artery has not been well known in the previous literature. We present this anomaly, and able to understand the mechanism of the occurrence by embryological knowledge. Failure of involution of the fourth segmental artery and the ductus caroticus remaining are associated with this anomaly. To understand this, an aberrant may be helpful to avoid injury of the vertebral artery when performing the surgical procedures and catheterization.
右侧椎动脉异常起源较为罕见。大多数异常情况发生在起自主动脉弓的左侧椎动脉。其次是右侧椎动脉起自右颈总动脉并伴有迷走右锁骨下动脉。然而,右侧椎动脉独立起自右颈总动脉的异常情况在以往文献中尚未得到充分认识。我们展示了这种异常情况,并能够通过胚胎学知识理解其发生机制。第四段动脉退化失败和颈动脉导管残留与这种异常有关。了解这一点,在进行外科手术和导管插入术时,了解这种异常情况可能有助于避免椎动脉损伤。