关键词: Anatomical variation Intersegmental artery Vascular anatomy Vertebral artery

来  源:   DOI:10.1007/s00276-024-03446-2

Abstract:
OBJECTIVE: A translation of the initial observation of vertebral arteria lusoria reported by Hyrtl in 1859 is followed by a review of all cases published until May 2023 to identify the anatomical and clinical features characterizing the typical form of this rare variant.
METHODS: PubMed, Google Scholar, and Google queries were performed with \"vertebral arteria lusoria\", \"retroesophageal vertebral artery\", and \"aberrant vertebral artery\" as keywords (in English, German, and French). A feature was considered typical when present in at least 75% of analyzed cases. A case of incidentally discovered vertebral arteria lusoria illustrates the typical form of the variant.
RESULTS: The analysis of 56 publications yielded 66 observations of right-sided vertebral arteria lusoria published between 1859 and May 2023. A small caliber, a retro-esophageal location, and passage through the foramen transversarium of C7 were typical. There was no evidence of association with clinical symptoms or other cardiovascular anomalies.
CONCLUSIONS: A typical vertebral arteria lusoria is an incidentally discovered nondominant aberrant right VA originating from the proximal descending aorta and following a retro-esophageal course to enter the C7 foramen transversarium, without associated aortic arch branching anomalies or congenital cardiovascular pathologies.
摘要:
目的:对Hyrtl于1859年报道的椎动脉lusoria的初步观察结果进行了翻译,然后对直到2023年5月发表的所有病例进行了回顾,以确定表征这种罕见变体典型形式的解剖和临床特征。
方法:PubMed,谷歌学者,谷歌查询是用“椎动脉lusoria”进行的,“食管后椎动脉”,和“异常椎动脉”作为关键词(英文,德语,和法语)。当在至少75%的分析病例中存在时,该特征被认为是典型的。偶然发现的椎动脉lusoria的病例说明了该变体的典型形式。
结果:对56种出版物的分析得出了在1859年至2023年5月之间发表的66种右侧椎动脉lusoria的观察结果。小口径,食道后部的位置,穿过C7的孔是典型的。没有证据表明与临床症状或其他心血管异常有关。
结论:典型的椎动脉lusoria是偶然发现的非显性异常右VA,起源于近端降主动脉,并在食道后进入C7横肌孔,没有相关的主动脉弓分支异常或先天性心血管疾病。
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