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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 2/2019

01-02-2019 | Original Article

Anatomical variations of aortic arch vessels in Japanese patients with aortic arch disease

Authors: Yuki Ikeno, Yutaka Koide, Takashi Matsueda, Katsuhiro Yamanaka, Takeshi Inoue, Satoshi Ishihara, Shinichi Nakayama, Hiroshi Tanaka, Koji Sugimoto, Yutaka Okita

Published in: General Thoracic and Cardiovascular Surgery | Issue 2/2019

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Abstract

Objectives

The present study analyzed the prevalence of variations of the aortic arch branching in Japanese population, comparing patients with aortic arch disease with healthy controls.

Methods

Between from October 1999 and December 2015, 815 Japanese patients with aortic arch disease defined as aortic arch aneurysm (diameter ≥ 45 mm) and aortic dissection (group A) underwent aortic arch surgery in our institution. As a control group, 1506 traumatic screened patients were enrolled (group C).

Results

Aortic arch anomaly was diagnosed in 140 patients (17.2%) in the group A and in 222 patients (14.7%) in the group C (p = 0.125). Significant differences were found in the incidence of aberrant subclavian artery (A: 14 patients, 1.7%, vs. C: 8 patients, 0.5%, p = 0.006). Significantly more patients with aortic arch aneurysm in the group A had anomalies of the aortic arch compared with the group C (p = 0.009), including bovine aortic arch (p = 0.049) and aberrant subclavian artery (p < 0.001). In term of aneurysm location, bovine arch was detected in more patients with proximal arch aneurysm (15.7%, p = 0.043), whereas aberrant subclavian artery was in more patients with distal location (3.7%, p < 0.001). No difference was found in aortic arch anomaly in patients with acute or chronic dissection.

Conclusion

Aberrant subclavian artery was a significant maker of aortic arch disease in Japanese populations. Bovine arch was a risk maker of proximal arch aneurysm, and aberrant subclavian artery was a risk factor of distal arch aneurysm.
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Metadata
Title
Anatomical variations of aortic arch vessels in Japanese patients with aortic arch disease
Authors
Yuki Ikeno
Yutaka Koide
Takashi Matsueda
Katsuhiro Yamanaka
Takeshi Inoue
Satoshi Ishihara
Shinichi Nakayama
Hiroshi Tanaka
Koji Sugimoto
Yutaka Okita
Publication date
01-02-2019
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 2/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-018-1001-3

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