J Korean Soc Radiol.  2013 Jan;68(1):1-4.

Duplication of the Left Vertebral Artery Origin: A Case Report

Affiliations
  • 1Department of Radiology, College of Medicine, Hanyang University, Hanyang University Guri Hospital, Guri, Korea. dwpark@hanyang.ac.kr

Abstract

Duplication of vertebral arteries is a very rare but clinically important condition. A duplicated vertebral artery origin can influence hemodynamics, pathogenesis of vascular lesions and treatment options. In cases of vertebral artery duplication, the vertebral arteries generally enter the transverse foramen higher up than normal. Awareness of these vertebral artery variants before procedures, such as neurointervention or surgery, may be beneficial. Here, we describe a case of a 51-year-old female patient with left vertebral artery duplication which was detected incidentally.


MeSH Terms

Female
Hemodynamics
Humans
Vertebral Artery

Reference

1. Matula C, Trattnig S, Tschabitscher M, Day JD, Koos WT. The course of the prevertebral segment of the vertebral artery: anatomy and clinical significance. Surg Neurol. 1997. 48:125–131.
2. Satti SR, Cerniglia CA, Koenigsberg RA. Cervical vertebral artery variations: an anatomic study. AJNR Am J Neuroradiol. 2007. 28:976–980.
3. Koenigsberg RA, Pereira L, Nair B, McCormick D, Schwartzman R. Unusual vertebral artery origins: examples and related pathology. Catheter Cardiovasc Interv. 2003. 59:244–250.
4. Kendi AT, Brace JR. Vertebral artery duplication and aneurysms: 64-slice multidetector CT findings. Br J Radiol. 2009. 82:e216–e218.
5. Goddard AJ, Annesley-Williams D, Guthrie JA, Weston M. Duplication of the vertebral artery: report of two cases and review of the literature. Neuroradiology. 2001. 43:477–480.
6. Panicker HK, Tarnekar A, Dhawane V, Ghosh SK. Anomalous origin of left vertebral artery - embryological basis and applied aspects - A case report. J Anat Soc India. 2002. 51:234–235.
7. Bergman RA, Afifi AF, Miyauchi R. Illustrated Encyclopedia of Human Anatomic Variation. Available at: http://www.anatomyatlases.org/AnatomicVariants/Cardiovsacular/Images0001/0095.shtml.
8. Bruneau M, Cornelius JF, Marneffe V, Triffaux M, George B. Anatomical variations of the V2 segment of the vertebral artery. Neurosurgery. 2006. 59:1 Suppl 1. ONS20–ONS24. discussion ONS20-ONS24.
9. Goray VB, Joshi AR, Garg A, Merchant S, Yadav B, Maheshwari P. Aortic arch variation: a unique case with anomalous origin of both vertebral arteries as additional branches of the aortic arch distal to left subclavian artery. AJNR Am J Neuroradiol. 2005. 26:93–95.
10. Komiyama M, Morikawa T, Nakajima H, Nishikawa M, Yasui T. High incidence of arterial dissection associated with left vertebral artery of aortic origin. Neurol Med Chir (Tokyo). 2001. 41:8–11. discussion 11-12.
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