Sığır aortik arkı ile çıkan aort anevrizma cerrahisi

Öz

Aortik ark anatomisinde en sık görülen anatomi ve bu nedenle normal değerlendirme sol ana karotis arterin izole olarak arcus aortadan ayrıldığı formdur. Sol ana karotid arterin brakiosefalik arterden veya brakiosefalik arter ile ortak bir kökten çıktığı aortik ark varyantı ‘sığır aortik arkı’olarak adlandırılır. Günlük pratikte aortik ark varyantlarının farkındalığı girişimsel klinisyenler için son derece önemlidir. Makalemizde kliniğimizde uygulanan farklı anevrizma ameliyatları ile bu varyantın literatür taraması ve cerrahi öneminin vurgulanması amaçlanmıştır.

Anahtar Kelimeler

• Sığır aortik arkı
• aortik ark anomalileri
• çıkan aort anevrizması

Ascending Aortic Aneurysm Surgery with Bovine Aortic Arch

Öz

The most common presentation in aortic arch anatomy and therefore normal evaluation is the form in which the left common carotid artery is isolated from the arcus aorta. A variant of the aortic arch, where the left common carotid artery arises from the brachiocephalic artery or from a common root with the brachiocephalic artery, is called the bovine aortic arch. Awareness of aortic arch variants in daily practice is very important for interventional clinicians. In our article, it is aimed to emphasize the literature review and surgical importance of this variant by means of different aneurysm operations performed in our clinic.

Anahtar Kelimeler

• Bovine aortic arch
• aortic arch anomalies
• ascending aortic aneurysm

Kaynakça

1. Han J, Xiang H, Ridley WE, Ridley LJ. Bovine aortic arch. J Med Imaging Radiat Oncol 2018; 62: 20-21.
2. Popieluszko P, Henry BM, Sanna B, Hsieh WC, Saganiak K, Pekala AP, et al. A systematic review and meta-analysis of variations in branching patterns of the adult aortic arch. J Vasc Surg 2018; 68: 298-306.
3. Yousef S, Singh S, Alkukhun A, Alturkmani B, Mori M, Chen J, et al. Variants of the aortic arch in adult general population and their association witht horacic aortic aneurysm disease. J Card Surg 2021;1-7.
4. Li S, Wen H, Liang M, Luo D, Qin Y, Liao Y, et al.Congenital abnormalities of the aortic arch:revisiting the 1964 Stewart classification. Cardiovasc Pathol 2019; 39: 38-50.
5. Dumfarth J, Chou AS, Ziganshin BA, Bhandari R, Peterss S, Tranquilli M, et al. Atypical aortic arch branching variants: a novel marker for thoracic aortic disease. J Thorac Cardiovasc Surg 2015; 149:1586-92.