Evidence map›Paper›PMID 40537711›Full record

ArticleSurgical and radiologic anatomy : SRA2025

A rare variation of five major vessels arising from the aortic arch with an absence of brachiocephalic trunk.

B R Omotoso, R Harrichandparsad, L Lazarus

Abstract readCase Reports
In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

B R OmotosoDepartment of Internal Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, 9300, South Africa. bukolaomotoso16@gmail.com.ORCID https://orcid.org/0000-0002-7989-6959
R HarrichandparsadDepartment of Neurosurgery, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.ORCID https://orcid.org/0000-0002-0391-8496
L LazarusDiscipline of Clinical Anatomy, School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Westville Campus, Private Bag X54001, Durban, 4000, South Africa.ORCID http://orcid.org/0000-0002-3113-3143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The most common variations of the aortic arch branching pattern usually involve the distance between the vessels arising from it and their dimensions. Changes in the number of vessels originating from the aortic arch, ranging from one to four or more major vessels instead of the classical three vessels as independent branches, are uncommon. Incidents of branching patterns involving four independent vessels arising from the aortic arch are rare, and reports of five or six independent vessels are extremely rare. We report on a case of an absent brachiocephalic trunk associated with an aberrant right subclavian artery and five distinct major vessels arising directly from the aortic arch in a South African male. Although most congenital vascular variations are incidental findings on angiographic images, some have also been associated with cerebrovascular diseases such as cerebral aneurysms. In addition, knowledge of these rare variations is of diagnostic importance as their presence may increase the difficulty and alter the specificity of vascular procedures performed using endovascular and open techniques.

Indexed as

Anatomic VariationAorta, ThoracicBrachiocephalic TrunkSubclavian ArteryCardiovascular AbnormalitiesHumansMaleAberrant right subclavian arteryAortic archBrachiocephalic trunkComputed tomography angiographyVertebral artery

Identifiers

PMID40537711
PMCPMC12178958

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.