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Case Report Open Access


An unusual right vertebral artery variation accompanying to bovine arch: A case report

Alaaddin Nayman, Zeliha Fazliogullari, Ahmet Kagan Karabulut, Cihat Gun, Ghulam Nabi.

Abstract
In a 74-year old male patient, brachiocephalic trunk and left common carotid artery are sharing a common root (bovine arch) and right vertebral artery (VA) variation was detected incidentally during computed tomography angiography for occlusion of common carotid artery. Right VA branches from the aortic arch (aberrant VA) and forwards retroesophageally and retrotracheally during its course and then entered cervical 7th transverse foramen whereas left VA branches from the subclavian artery and entered cervical 6th transverse foramen. The patient has not any symptom such as dyspnea and dysphagia. The most common anatomic variation of aortic arch is the bovine aortic arch. Incidence of the bovine aortic arch varies between 0.9% - 27.4% in the literature. Like in the present case, branching of the right vertebral artery from aortic arch is very rare.

Key words: Bovine arch, right vertebral artery variation, computed tomography angiography.


 
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Pubmed Style

Nayman A, Fazliogullari Z, Karabulut AK, Gun C, Nabi G. An unusual right vertebral artery variation accompanying to bovine arch: A case report. Arch Clin Exp Surg. 2017; 6(3): 171-174. doi:10.5455/aces.20160407095740


Web Style

Nayman A, Fazliogullari Z, Karabulut AK, Gun C, Nabi G. An unusual right vertebral artery variation accompanying to bovine arch: A case report. http://www.ejmaces.com/?mno=222567 [Access: February 25, 2018]. doi:10.5455/aces.20160407095740


AMA (American Medical Association) Style

Nayman A, Fazliogullari Z, Karabulut AK, Gun C, Nabi G. An unusual right vertebral artery variation accompanying to bovine arch: A case report. Arch Clin Exp Surg. 2017; 6(3): 171-174. doi:10.5455/aces.20160407095740



Vancouver/ICMJE Style

Nayman A, Fazliogullari Z, Karabulut AK, Gun C, Nabi G. An unusual right vertebral artery variation accompanying to bovine arch: A case report. Arch Clin Exp Surg. (2017), [cited February 25, 2018]; 6(3): 171-174. doi:10.5455/aces.20160407095740



Harvard Style

Nayman, A., Fazliogullari, Z., Karabulut, A. K., Gun, C. & Nabi, G. (2017) An unusual right vertebral artery variation accompanying to bovine arch: A case report. Arch Clin Exp Surg, 6 (3), 171-174. doi:10.5455/aces.20160407095740



Turabian Style

Nayman, Alaaddin, Zeliha Fazliogullari, Ahmet Kagan Karabulut, Cihat Gun, and Ghulam Nabi. 2017. An unusual right vertebral artery variation accompanying to bovine arch: A case report. Archives of Clinical and Experimental Surgery (ACES), 6 (3), 171-174. doi:10.5455/aces.20160407095740



Chicago Style

Nayman, Alaaddin, Zeliha Fazliogullari, Ahmet Kagan Karabulut, Cihat Gun, and Ghulam Nabi. "An unusual right vertebral artery variation accompanying to bovine arch: A case report." Archives of Clinical and Experimental Surgery (ACES) 6 (2017), 171-174. doi:10.5455/aces.20160407095740



MLA (The Modern Language Association) Style

Nayman, Alaaddin, Zeliha Fazliogullari, Ahmet Kagan Karabulut, Cihat Gun, and Ghulam Nabi. "An unusual right vertebral artery variation accompanying to bovine arch: A case report." Archives of Clinical and Experimental Surgery (ACES) 6.3 (2017), 171-174. Print. doi:10.5455/aces.20160407095740



APA (American Psychological Association) Style

Nayman, A., Fazliogullari, Z., Karabulut, A. K., Gun, C. & Nabi, G. (2017) An unusual right vertebral artery variation accompanying to bovine arch: A case report. Archives of Clinical and Experimental Surgery (ACES), 6 (3), 171-174. doi:10.5455/aces.20160407095740





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