Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report
There are no reports of the coexistence of a right vertebral artery (VA) originating from the right common carotid artery (CCA), an aberrant right subclavian artery (SCA) and a primitive proatlantal intersegmental artery (PPIA); thus, we report such a case. A 61-year-old female presented with subara...
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Elsevier
2025-04-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325000469 |
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| author | Jinlu Yu |
| author_facet | Jinlu Yu |
| author_sort | Jinlu Yu |
| collection | DOAJ |
| description | There are no reports of the coexistence of a right vertebral artery (VA) originating from the right common carotid artery (CCA), an aberrant right subclavian artery (SCA) and a primitive proatlantal intersegmental artery (PPIA); thus, we report such a case. A 61-year-old female presented with subarachnoid hemorrhage. Computed tomography angiography (CTA) and digital subtraction angiography (DSA) revealed a ruptured right posterior communicating artery (PcomA) aneurysm. The PcomA aneurysm was successfully embolized, and the patient recovered well. Moreover, CTA and DSA revealed that the right VA originated from the right CCA instead of the right SCA. The right SCA was aberrant from the aorta, a PPIA originated from the left external carotid artery and extended posteriorly into the left C1 transverse foramen to connect with the left intracranial VA, and the left extracranial VA was hypoplastic. Our report contributes to the literature concerning the rare variation in the origins of larger vessels located above the aorta. In addition, in our report, the complex anatomy of the neck vessels made establishing a path to access intracranial aneurysms difficult. |
| format | Article |
| id | doaj-art-482fcd4f778f41809570d8a3ee8466fb |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-482fcd4f778f41809570d8a3ee8466fb2025-08-20T02:58:18ZengElsevierRadiology Case Reports1930-04332025-04-012042129213410.1016/j.radcr.2025.01.047Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case reportJinlu Yu0Department of Neurosurgery, The First Hospital of Jilin University, Changchun, 130021, ChinaThere are no reports of the coexistence of a right vertebral artery (VA) originating from the right common carotid artery (CCA), an aberrant right subclavian artery (SCA) and a primitive proatlantal intersegmental artery (PPIA); thus, we report such a case. A 61-year-old female presented with subarachnoid hemorrhage. Computed tomography angiography (CTA) and digital subtraction angiography (DSA) revealed a ruptured right posterior communicating artery (PcomA) aneurysm. The PcomA aneurysm was successfully embolized, and the patient recovered well. Moreover, CTA and DSA revealed that the right VA originated from the right CCA instead of the right SCA. The right SCA was aberrant from the aorta, a PPIA originated from the left external carotid artery and extended posteriorly into the left C1 transverse foramen to connect with the left intracranial VA, and the left extracranial VA was hypoplastic. Our report contributes to the literature concerning the rare variation in the origins of larger vessels located above the aorta. In addition, in our report, the complex anatomy of the neck vessels made establishing a path to access intracranial aneurysms difficult.http://www.sciencedirect.com/science/article/pii/S1930043325000469Vertebral arteryCommon carotid arteryAberrant subclavian arteryPrimitive proatlantal intersegmental arteryPosterior Communicating aneurysm |
| spellingShingle | Jinlu Yu Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report Radiology Case Reports Vertebral artery Common carotid artery Aberrant subclavian artery Primitive proatlantal intersegmental artery Posterior Communicating aneurysm |
| title | Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report |
| title_full | Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report |
| title_fullStr | Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report |
| title_full_unstemmed | Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report |
| title_short | Coexistence of a right vertebral artery originating from the right common carotid artery, an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery: First case report |
| title_sort | coexistence of a right vertebral artery originating from the right common carotid artery an aberrant right subclavian artery and a left primitive proatlantal intersegmental artery first case report |
| topic | Vertebral artery Common carotid artery Aberrant subclavian artery Primitive proatlantal intersegmental artery Posterior Communicating aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325000469 |
| work_keys_str_mv | AT jinluyu coexistenceofarightvertebralarteryoriginatingfromtherightcommoncarotidarteryanaberrantrightsubclavianarteryandaleftprimitiveproatlantalintersegmentalarteryfirstcasereport |