ArticleActa medica academica2023
The Brachiocephalic Trunk Variant Origin and High-Riding Course: Two Cadaveric Cases.
Article in Acta medica academica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 1 citations in OpenAlex.
- Major Vessels of the Interclavicular Suprasternal Space: A Suprasternal Notch-Referenced Topographic Classification with Potential Procedural Relevance.Diagnostics (Basel, Switzerland) · 2026Article
- Concurrent thyroid ima artery, high-riding brachiocephalic trunk, and supreme intercostal artery in thoracic vertebral artery configuration: a computed tomography angiography case report.Surgical and radiologic anatomy : SRA · 2026Article
- Article
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Authors and funding
9 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveThe current report describes two rare cadaveric findings of a left sided brachiocephalic trunk (BCT) in relation to the trachea, and its high-riding course above the suprasternal notch (SN). CASES DESCRIPTION: In two elderly body donors dissected after death, a left-sided BCT was identified with a high-riding course (0.5 and 0.8 cm above the SN). The BCT originated from the aortic arch, in common with the left common carotid artery, more distally than the typical left-side location and crossed in front of the trachea. In the 1st case, the ascending and descending aortae, and the left subclavian artery had aneurysmal dilatation. In both cases, the trachea was displaced to the right side and had a stenosis due to the chronic compression.
conclusionA high-riding BCT is of paramount clinical importance, as it may complicate tracheotomy, thyroid surgery and mediastinoscopy, leading to fatal complications. BCT injury leads to a massive bleeding during neck dissection (level VI), when the vessel crosses the anterior tracheal wall.
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