Medial-type persistent trigeminal artery and ipsilateral posterior communicating artery supplying bilateral posterior cerebral arteries combined with an aberrant right subclavian artery and bicarotid trunk.
Aberrant right subclavian artery
Arterial variations
Carotid-vertebrobasilar anastomosis
Magnetic resonance angiography
Persistent trigeminal artery
Journal
Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
06
07
2023
accepted:
24
09
2023
medline:
6
11
2023
pubmed:
10
10
2023
entrez:
9
10
2023
Statut:
ppublish
Résumé
To describe a case of a medial-type persistent trigeminal artery (PTA) associated with multiple arterial variations. A 34-year-old woman with multiple sclerosis underwent cranial magnetic resonance (MR) angiography from the aortic arch to the neck region and intracranial region for the evaluation of an unruptured cerebral aneurysm that was previously detected on MR imaging. The MR machine was a 3-T scanner. There was an aberrant right subclavian artery and bicarotid trunk, medial-type left PTA and ipsilateral posterior communicating artery (PCoA) supplying bilateral posterior cerebral arteries (PCAs). The unruptured aneurysm was located at the paraclinoid segment of the left internal carotid artery and was treated successfully by coil embolization via a transfemoral approach. Only 10% of PTAs are classified as the medial type. The association with extremely large ipsilateral PCoA, which supplies the bilateral PCAs, has not been previously reported. Aberrant right subclavian arteries are common and are frequently associated with a bicarotid trunk. Before catheterization of the cerebral arteries, the aortic arch and its branches must be evaluated by MR angiography or computed tomography angiography to prevent catheterization failure via the right transradial approach.
Identifiants
pubmed: 37814096
doi: 10.1007/s00276-023-03247-z
pii: 10.1007/s00276-023-03247-z
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1557-1561Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Deniz MA, Turmak M, Hattapoğlu S, Tekinhatun M (2022) Persistent trigeminal artery detected on computed tomography angiography. Surg Radiol Anat 44:715–720. https://doi.org/10.1007/s00276-022-02960-5
doi: 10.1007/s00276-022-02960-5
pubmed: 35604462
Huang W, Zhang Y, Zhuang Y, Shi Y, Feng Y (2023) An anatomical study of persistent trigeminal artery detected by computed tomography angiography and magnetic resonance angiography: proposal for a modified classification and a novel basilar artery grading system. Surg Radiol Anat 45:947–957. https://doi.org/10.1007/s00276-023-03164-1
doi: 10.1007/s00276-023-03164-1
pubmed: 37233779
pmcid: 9981493
Mrochek AG, Kabak SL, Haidzel IK, Melnichenko YM, Kalenchic TI (2019) Coexistence an aberrant right subclavian artery with other congenital anomalies: case report and review of the literature. Surg Radiol Anat 41:963–967. https://doi.org/10.1007/s00276-019-02206-x
doi: 10.1007/s00276-019-02206-x
pubmed: 30737539
Natsis K, Didagelos M, Gkiouliava A, Lazaridis N, Vyzas V, Piagkou M (2017) The aberrant right subclavian artery: cadaveric study and literature review. Surg Radiol Anat 39:559–565. https://doi.org/10.1007/s00276-016-1796-5
doi: 10.1007/s00276-016-1796-5
pubmed: 27999944
O’uchi E, O’uchi T (2010) Persistent primitive trigeminal arteries (PTA) and its variant (PTAV): analysis of 103 cases detected in 16,415 cases of MRA over 3 years. Neuroradiology 52:1111–1119. https://doi.org/10.1007/s00234-010-0669-6
doi: 10.1007/s00234-010-0669-6
pubmed: 20309534
Polguj M, Chrzanowski Ł, Kasprzak JD, Stefańczyk L, Topol M, Majos A (2014) The aberrant right subclavian artery (arteria lusoria): the morphological and clinical aspects of one of the most important variations—a systematic study of 141 reports. ScientificWorldJournal 2014:292734. https://doi.org/10.1155/2014/292734
doi: 10.1155/2014/292734
pubmed: 25105156
pmcid: 4102086
Salas E, Ziyal IM, Sekhar LN, Wright DC (1998) Persistent trigeminal artery: an anatomic study. Neurosurgery 43:557–561. https://doi.org/10.1097/00006123-199809000-00082 . (discussion 561–562)
doi: 10.1097/00006123-199809000-00082
pubmed: 9733310
Saltzman GF (1959) Patent primitive trigeminal artery studied by cerebral angiography. Acta Radiol 51:329–336. https://doi.org/10.3109/00016925909171103
doi: 10.3109/00016925909171103
pubmed: 13649384
Tasdemir R, Yasin S, Cihan OF (2023) Basilar artery formed by persistent primitive trigeminal artery: a case report. Surg Radiol Anat 45:333–335. https://doi.org/10.1007/s00276-023-03096-w
doi: 10.1007/s00276-023-03096-w
pubmed: 36739355
Uchino A (2019) Carotid-vertebrobasilar anastomosis: magnetic resonance and computed tomographic angiographic demonstration. Jpn J Radiol 37:565–578. https://doi.org/10.1007/s11604-019-00847-x
doi: 10.1007/s11604-019-00847-x
pubmed: 31214937
Uchino A, Saito N, Okada Y, Kozawa E, Mizukoshi W, Inoue K, Takahashi M (2012) Persistent trigeminal artery and its variants on MR angiography. Surg Radiol Anat 34:271–276. https://doi.org/10.1007/s00276-011-0848-0
doi: 10.1007/s00276-011-0848-0
pubmed: 21739246
Uchino A, Saito N, Okada Y, Kozawa E, Nishi N, Mizukoshi W, Nakajima R, Takahashi M, Watanabe Y (2013) Variation of the origin of the left common carotid artery diagnosed by CT angiography. Surg Radiol Anat 35:339–342. https://doi.org/10.1007/s00276-012-1038-4
doi: 10.1007/s00276-012-1038-4
pubmed: 23129264
Weon YC, Choi SH, Hwang JC, Shin SH, Kwon WJ, Kang BS (2011) Classification of persistent primitive trigeminal artery (PPTA): a reconsideration based on MRA. Acta Radiol 52:1043–1051. https://doi.org/10.1258/ar.2011.110191
doi: 10.1258/ar.2011.110191
pubmed: 21969699