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Портал Begell Электронная Бибилиотека e-Книги Журналы Справочники и Сборники статей Коллекции
Journal of Long-Term Effects of Medical Implants
SJR: 0.145 SNIP: 0.491 CiteScore™: 0.89

ISSN Печать: 1050-6934
ISSN Онлайн: 1940-4379

Выпуски:
Том 30, 2020 Том 29, 2019 Том 28, 2018 Том 27, 2017 Том 26, 2016 Том 25, 2015 Том 24, 2014 Том 23, 2013 Том 22, 2012 Том 21, 2011 Том 20, 2010 Том 19, 2009 Том 18, 2008 Том 17, 2007 Том 16, 2006 Том 15, 2005 Том 14, 2004 Том 13, 2003 Том 12, 2002 Том 11, 2001 Том 10, 2000

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2020034579
pages 3-12

Anatomical Variations of the Left Subclavian Artery and Their Significance in Clinical Practice

Anna Botou
Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Eleni Panagouli
Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Maria Piagkou
Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Paschalis Strantzias
Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Stavros Angelis
2nd Orthopaedic Department, General Children's Hospital, Athens, Greece; Orthopaedic and Trauma Department, Hellenic Red Cross Hospital, Athens, Greece; Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Alexandros P. Apostolopoulos
Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece; Trauma and Orthopaedic Department, Ealing Hospital, North West University Healthcare NHS Trust, London, United Kingdom
Gregory Tsoucalas
Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Theodoros Troupis
Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Dimitrios K. Filippou
Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece

Краткое описание

We study variations of the aortic arch (AA) and its first branches, the brachiocephalic, common carotid, and subclavian arteries. Specifically, we describe anatomical variations of the left subclavian artery (LSA) and their significance in clinical practice. Such variations are commonly associated with congenital anomalies of the right-sided AA (RAA) and/or great vessels. A systematic search of the PubMed online database for studies of LSA variations and RAA, published between 2000 and 2020, produced a total of 73 articles for our study (n = 258 cases). Three of the most common variants were aberrant LSA (32.9%), RAA with mirror-image branching (49.6%), and isolated LSA (17.4%). Although RAA and LSA variations are rare, they may give rise to symptoms during the first stages of life or adulthood and may require surgical repair. Patients can remain asymptomatic, but incidental findings on imaging studies may lead to surgical interventions in areas of the neck or thorax. In such cases, planning the surgical procedure can be challenging, and possible implications must be considered.

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