Venkatesh Kasi Arunachalam Resident, Department of Radiology, Kovai Medical Center and Hospital, Coimbatore 641014, India, India
Gopinath Periaswamy Resident, India
Navya Christopher Resident, India
Sugumar Raghul Resident, India
Dhanyasree T R null Resident, India
Kartheek Guthikonda Resident, India
Rajesh Kumar Varatharajaperumal Consultant Radiologist, India
Mathew Cherian. P null Head of the Department, Department of Radiology, Kovai Medical Center and Hospital, Coimbatore 641014, India, India
Address for correspondence: Venkatesh Kasi Arunachalam, Resident, Department of Radiology, Kovai Medical Center and Hospital, Coimbatore 641014, India, India E-mail: null
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Periaswamy G, Christopher N, Arunachalam VK, et al. Prevalence of thyroidea ima artery & variations in aortic arch branches in South Asian population: a retrospective CT based study. Indian J Anat. 2023;12(1):9–19
Timeline
Received : September 03, 2023
Accepted : October 10, 2023
Published : November 30, 2023
Abstract
Objectives: The aim of this study is to determine the prevalence of thyroidea ima artery
(TIA) and branching pattern variations of aortic arch among 2000 patients who underwent
CECT imaging.
Materials and methods: This retrospective cross-sectional observational study included
2000 patients who underwent CECT of aortic arch and branches during a two years period in
a tertiary care centre in South India. The presence of thyroidea ima artery with its origin were
identified and the branching patterns of aortic arch were assessed.
Results: TIA was identified in 23 patients, showing a prevalence of 1.15%. The normal
branching pattern of aortic arch was observed in 1493 patients, and variations in branching
pattern were seen in 507 patients. The variations included 342 cases of bovine type arch, 162
left vertebral arteries originating from arch, 16 aberrant right subclavian artery, 10 right sided
aortic arch, and 1 double aortic arch.
Conclusion: The identification of TIA and variations in aortic arch branching are crucial,
as they can cause complications during neck and thoracic surgeries and endovascular
interventions. CECT is a reliable tool to assess the vascular anatomy. Considering the prevalence
demonstrated in our study, imaging should be included prior to procedures in order to prevent
complications.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
About this article
Cite this article
Periaswamy G, Christopher N, Arunachalam VK, et al. Prevalence of thyroidea ima artery & variations in aortic arch branches in South Asian population: a retrospective CT based study. Indian J Anat. 2023;12(1):9–19
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Gender distribution of branching pattern of aortic arch
Description: No description available.
Distribution of branching pattern of aortic arch
Description: No description available.
Distribution of types of variant branching pattern of aortic arch
Description: No description available.
Distribution of types of variant branching pattern of aortic arch
Description: No description available.
Coronal CT neck contrast image (1a) showing thyroideaima artery arising from the brachiocephalic trunk.
Description: No description available.
Sites of origin of thyroideaima artery
Description: No description available.
Axial CT chest contrast and VRT images showing bovine-type arch.
Description: No description available.
Axial CT chest contrast and VRT images showing the origin of left vertebral artery from aortic arch
Description: No description available.
Axial CT chest contrast and VRT images showing the origin of left vertebral artery from aortic arch
Description: No description available.
Axial CT chest contrast images showing aberrant right subclavian artery.
Description: No description available.
Axial CT chest contrast images showing aberrant right subclavian artery.
Description: No description available.
Axial CT chest contrast and VRT images showing right sided aortic arch with aberrant left subclavian artery.
Description: No description available.
Axial CT chest contrast and VRT images showing right sided aortic arch with mirror image type branching. Incidental medullary hematopoiesis is also noted at the sternum, vertebra and ribs.
Description: No description available.
Axial CT chest contrast and VRT images showing right sided aortic arch with mirror image type branching. Incidental medullary hematopoiesis is also noted at the sternum, vertebra and ribs.
Description: No description available.
CT chest contrast and VRT images showing double aortic arch with RSCA, RCCA and RVA arising from the right arch continuing as descending aorta, and LCCA arising from the left arch. Note is also made of ASD (Atrial septal defect).