Skip Navigation


European Heart Journal Advance Access originally published online on February 22, 2008
European Heart Journal 2008 29(14):1782; doi:10.1093/eurheartj/ehn039
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
29/14/1782    most recent
ehn039v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Kirsch, J.
Right arrow Articles by Williamson, E. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kirsch, J.
Right arrow Articles by Williamson, E. E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Aberrant left internal mammary artery off an aberrant vertebral artery

Jacobo Kirsch1,* and Eric E. Williamson2

1 Staff Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL 33331, USA
2 Mayo Clinic, 200 First Street, Rochester, MN 55905, USA

* Corresponding author. E-mail: kirschj{at}ccf.org

We present an image of a 65-year-old female with chest pain and cough who underwent a CT of the chest to rule out a pulmonary embolus. While reviewing the images, incidentally noted was an aberrant left vertebral artery arising directly from the aorta distal to the left subclavian artery. Additionally, the left internal mammary artery (LIMA) had an anomalous origin from the left vertebral artery.

To our knowledge, this is the first ever report of an LIMA arising from a vertebral artery. Different origins for the vertebral arteries have been well documented before. The origin of the left vertebral artery from the aortic arch is expected to occur in ~3% of the population, with the branch arising between the left common carotid and left subclavian artery, the most common of the variations.

Anomalies to the origin of the LIMA are much less common, but have also been described in the literature. It is most common from the first part of the subclavian artery (92%), than from the second part (7%), and rarely from the distal third part (1%). There is a single report in the literature of an LIMA originating from the junction of the left subclavian artery and aorta.

Formula


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?



This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
29/14/1782    most recent
ehn039v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Kirsch, J.
Right arrow Articles by Williamson, E. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kirsch, J.
Right arrow Articles by Williamson, E. E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?