A morphometric study on cadaveric aortic arch and its major branches in 25 Korean adults

The perspective of endovascular surgery

Il Young Shin, Yong Gu Chung, Won Han Shin, Soo Bin Im, Sun Chul Hwang, Bum Tae Kim

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objective: To understand the anatomic characteristics of the aortic arch (AA) and its major branches to build a foundation toward performing endovascular surgery safely. Methods: A total of 25 formalin fixed Korean adult cadavers were used. The authors investigated: anatomical variations of the AA and its major branches; curvature of the AA; distance from the mid-vertebrae line to the origin of the major branches; distances from the origin of the major branches of AA to the origin of its distal branches; and the angle of the three major branches, the brachiocephalic trunk (BCT), the left common carotid artery (LCCA) and the left subclavian artery (LSCA) arising from AA. Results: The three major branches directly originated from AA in 21 (84%) of the cadavers. In two (8%) of remaining four cadavers, orifice of LCCA was slightly above the stem of BCT. In remaining two (8%) cadavers, the left vertebral artery (LVA) was directly originated from AA. Average angle of AA curvature to the coronal plane was 62.2 degrees. BCT originated 0.92 mm on the right of the mid-vertebrae line. LCCA and LSCA originated from 12.3 mm and 22.8 mm on the left of the mid-vertebrae line. Mean distance from the origin of the BCT to the origin of the RCCA was 32.5 mm. Mean distance from the origin of the LSCA to the origin of the LVA was 33.8 mm. Average angles at which the major branches arise from the AA were 65.3, 46.9 and 63.8 degrees. Conclusion: This study may provides a basic anatomical information to catheterize AA and its branches for safely performing endovascular surgery.

Original languageEnglish
Pages (from-to)78-83
Number of pages6
JournalJournal of Korean Neurosurgical Society
Volume44
Issue number2
DOIs
Publication statusPublished - 2008 Jul 1

Fingerprint

Thoracic Aorta
Brachiocephalic Trunk
Cadaver
Subclavian Artery
Common Carotid Artery
Spine
Vertebral Artery
Formaldehyde

Keywords

  • Aorta
  • Atherectomy
  • Brachiocephalic trunk
  • Cadaver
  • Common carotid artery
  • Subclavian artery

ASJC Scopus subject areas

  • Neuroscience(all)
  • Surgery
  • Clinical Neurology

Cite this

A morphometric study on cadaveric aortic arch and its major branches in 25 Korean adults : The perspective of endovascular surgery. / Shin, Il Young; Chung, Yong Gu; Shin, Won Han; Im, Soo Bin; Hwang, Sun Chul; Kim, Bum Tae.

In: Journal of Korean Neurosurgical Society, Vol. 44, No. 2, 01.07.2008, p. 78-83.

Research output: Contribution to journalArticle

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abstract = "Objective: To understand the anatomic characteristics of the aortic arch (AA) and its major branches to build a foundation toward performing endovascular surgery safely. Methods: A total of 25 formalin fixed Korean adult cadavers were used. The authors investigated: anatomical variations of the AA and its major branches; curvature of the AA; distance from the mid-vertebrae line to the origin of the major branches; distances from the origin of the major branches of AA to the origin of its distal branches; and the angle of the three major branches, the brachiocephalic trunk (BCT), the left common carotid artery (LCCA) and the left subclavian artery (LSCA) arising from AA. Results: The three major branches directly originated from AA in 21 (84{\%}) of the cadavers. In two (8{\%}) of remaining four cadavers, orifice of LCCA was slightly above the stem of BCT. In remaining two (8{\%}) cadavers, the left vertebral artery (LVA) was directly originated from AA. Average angle of AA curvature to the coronal plane was 62.2 degrees. BCT originated 0.92 mm on the right of the mid-vertebrae line. LCCA and LSCA originated from 12.3 mm and 22.8 mm on the left of the mid-vertebrae line. Mean distance from the origin of the BCT to the origin of the RCCA was 32.5 mm. Mean distance from the origin of the LSCA to the origin of the LVA was 33.8 mm. Average angles at which the major branches arise from the AA were 65.3, 46.9 and 63.8 degrees. Conclusion: This study may provides a basic anatomical information to catheterize AA and its branches for safely performing endovascular surgery.",
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