Key result
Case report describes a unique 5-branch aortic arch featuring a direct left thyrocervical trunk.
Why the study?
Numerous studies on aortic arch variations exist, but the unique case of a left thyrocervical trunk originating directly from the aortic arch and a right subclavian artery arising dorsally as the last branch was previously unreported.
Case Report (n=1)
This first reported case of a specific 5-branch aortic arch variation provides important anatomical information for neck and thoracic surgeons.
Here, we present a unique case with 5 branches of the aortic arch (AA), namely the right common carotid artery, left common carotid artery, left thyrocervical trunk, left subclavian artery and right subclavian artery (RSA), from right to left. We found that the left thyrocervical trunk originated directly from the AA rather than the left subclavian artery. In addition, the RSA arose dorsally as the last branch of the AA and passed posteriorly to the oesophagus to supply the right upper limb. In addition, the right vertebral artery originated from the right common carotid artery instead of the RSA. Despite numerous studies on AA variations, to our knowledge, this is the first case of the left thyrocervical trunk originating directly from the AA and the RSA arising dorsally as the last branch of a 5-branch AA. Our case provides useful information to anatomists, radiologists and neck and thoracic surgeons.
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Ma et al. (2017) conducted a case report in Aortic arch variation (n=1). 5-branch aortic arch variation was evaluated on Anatomical variation description. A unique 5-branch aortic arch variation was identified, featuring the left thyrocervical trunk originating directly from the aortic arch and the right subclavian artery arising dorsally as the last branch.
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