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Anatomical Organization Of Aortic Arch Variations In The India: Embryological Basis And Review

S. Nayak, M. Pai, L. Prabhu, S. D’costa, P. Shetty
Published 2006 · Medicine

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OBJETIVOS: Determinar a porcentagem e o tipo de variacoes do arco aortico em individuos indianos, bem como sua importância clinica e cirurgica e base embriologica. PACIENTES E METODOS: Em nossa investigacao, os padroes de ramificacao do arco aortico foram estudados em 62 cadaveres fixados em formalina de ambos os sexos, de origem indiana e com idade entre 45 e 79 anos. As dissecacoes foram realizadas em cadaveres preservados em formalina, e as variacoes do arco aortico foram observadas apos a exposicao das regioes toracica e cervical durante a dissecacao de rotina de alunos da graduacao do Kasturba Medical College, Mangalore, India. RESULTADOS: O arco aortico normal de tres ramificacoes foi encontrado em 56 cadaveres (91,4%); as variacoes foram encontradas em seis cadaveres (9,6%); 4,8% apresentavam origem comum das arterias carotidas; 1,6% tinham sequencia binominada, e o mesmo especime tinha a origem da arteria coronaria esquerda diretamente no arco aortico; 1,6% apresentavam a origem da arteria subclavia direita diretamente na aorta; 1,6% tinham como ramificacao do arco aortico uma arteria vertebral esquerda. Cinco de seis cadaveres com padrao de ramificacao anomalo do arco aortico eram do sexo feminino. Um cadaver do sexo masculino apresentou origem anomala da arteria vertebral esquerda diretamente no arco. CONCLUSAO: O amplo espectro de variacoes nos padroes anatomicos das ramificacoes do arco aortico na populacao indiana estava em concordância com outras populacoes mundiais. Embora as origens anomalas das ramificacoes do arco aortico sejam meramente variacoes anatomicas, informacoes precisas sobre elas e essencial para a cirurgia vascular na regiao do torax, cabeca e pescoco.
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