Document Detail

Aortic arch branch variations--case report and arteriographic analysis.
MedLine Citation:
PMID:  12889243     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Non-recognition of a critical aortic arch branch variation at surgery, with fatal consequences, prompted a retrospective analysis of the prevalence of aortic arch branch variations in the South African population. METHODS: Three hundred and twenty aortic arch angiograms were analysed from existing records (January 1988--March 1998) of the vascular unit, Department of Surgery, University of Natal. RESULTS: Aortic arch branch variations were observed in 17 cases (5.3%). These variations were as follows: (i) 11 cases with two primary branches (3.4%); (ii) 1 case with three primary branches (0.3%); and (iii) 5 cases with four primary branches (1.6%). CONCLUSION: The clinical presentations which these variations give rise to are well known and may present during the first days of life or later in adulthood, or remain clinically silent. Non-recognition of the latter situation in the presence of vascular trauma may have fatal consequences.
Kapil Sewsaran Satyapal; Saraswathi Singaram; Prawesh Partab; Jaikrishna Maharaj Kalideen; John Vivian Robbs
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie     Volume:  41     ISSN:  0038-2361     ISO Abbreviation:  S Afr J Surg     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-07-31     Completed Date:  2003-10-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984854R     Medline TA:  S Afr J Surg     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  48-50     Citation Subset:  IM    
Department of Anatomy, University of Durban-Westville.
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MeSH Terms
Aorta, Thoracic / anatomy & histology*,  injuries*,  surgery
Brain Infarction / etiology*
Fatal Outcome
Vascular Surgical Procedures / adverse effects*
Wounds, Stab / complications,  surgery*

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