AI Article Synopsis

  • - The study focused on the variations in the branching patterns of the Arch of Aorta (AoA) in patients who underwent contrast-enhanced Multidetector Computed Tomography (MDCT), which are important for managing cardiovascular and neck surgeries.
  • - Conducted on 513 patients from August 2018 to July 2019, the study found that 13.45% had variations, with 9.94% showing common origins for the left common carotid artery and brachiocephalic trunk, highlighting significant anatomical differences.
  • - The research concluded that contrast-enhanced CT is the best method for identifying AoA variations, which is critical in surgical planning to minimize risks during vascular interventions.

Article Abstract

Introduction: Variations in the branching pattern of the Arch of Aorta (AoA) are common in patients undergoing contrast-enhanced Multidetector Computed Tomography, the identification of which is crucial in managing patients undergoing cardiovascular/neck surgeries and interventions.

Methods: This prospective cross-sectional study involved 513 patients who were sent to the Department of Radiology for evaluation of various pathologies of chest and neck between August 2018 and July 2019. After approval from the Institutional Review Committee {Reference No: 11(6-11) E2/075/076}, contrast-enhanced computed tomography images were evaluated with variations in branches of the left-sided arch of the aorta and symptoms associated.

Results: Variations in branches of the arch of aorta were seen in 69 (13.45%; 95% CI: 10.60%-16.71%) of cases, left common carotid artery and brachiocephalic trunk having common origin or common trunk was 51(9.94%). The mean age was 52.4±20 years (Range 3 months to 92 years) with male to female ratio of 1.3:1.

Conclusions: Contrast-enhanced computed tomography is the modality of choice for the detection of the variations in branches of AoA, recognition of which is crucial in vascular intervention and surgical procedures to reduce the postoperative morbidity and mortality of the patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185311PMC
http://dx.doi.org/10.31729/jnma.8605DOI Listing

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