Fenestration of the anterior and posterior cerebral arteries in coexistence with a contralateral posterior cerebral artery of fetal origin.

Anterior cerebral artery Cerebral arterial circle Computed tomography angiography Posterior cerebral artery Variation

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:
28 Jun 2024
Historique:
received: 07 06 2024
accepted: 19 06 2024
medline: 29 6 2024
pubmed: 29 6 2024
entrez: 28 6 2024
Statut: aheadofprint

Résumé

The present case report aims to describe the rare coexistence of three variants of the cerebral arterial system diagnosed by computed tomography angiography (CTA). A retrospective study on head and neck CTAs was performed on a Greek adult population from the Department of Radiology, University Hospital of Larissa. An interesting case of an 80-year-old male was further investigated. The cerebral arterial circle presented with a combination of three variations. The left anterior cerebral artery (ACA) was fenestrated 1.4 mm proximally to the anterior communicating artery formation. The left posterior cerebral artery (PCA) was also fenestrated, 5.5 mm distally to its origin from the basilar artery. Lastly, the right PCA originated from the ICA supraclinoid segment. This case report highlights an unusual coexistence of A1 and P1 segments fenestration with a fetal PCA, resulting in a unique cerebral circle. A1 segment fenestration has been previously reported as rare, while the PCA fenestration as extremely rare variant. Awareness of these rare variations could aid interventionists in their preoperative assessments.

Identifiants

pubmed: 38942933
doi: 10.1007/s00276-024-03428-4
pii: 10.1007/s00276-024-03428-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

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Auteurs

George Triantafyllou (G)

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias Str., Goudi, Athens, 11527, Greece. georgerose406@gmail.com.

Akira Uchino (A)

Department of Radiology, Saitama Sekishinkai Hospital, 2-37-20 Irumagawa, Sayama, Saitama, 350-1305, Japan.

Katerina Vassiou (K)

Department of Anatomy, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

Razvan-Costin Tudose (RC)

Division of Anatomy, Department 1, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Mugurel Constantin Rusu (MC)

Division of Anatomy, Department 1, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Marianna Vlychou (M)

Department of Radiology, School of Medicine, Faculty of Health Sciences, University of Thessaly, University Hospital of Larissa, Larissa, Greece.

George Tsakotos (G)

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias Str., Goudi, Athens, 11527, Greece.

Maria Piagkou (M)

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias Str., Goudi, Athens, 11527, Greece.

Classifications MeSH