Relato de caso: aorta dorsal dupla persistente
Case report: persistent double dorsal aorta
Paulo Henrique Alves Togni Filho; Ernani Alves de Oliveira; Eduardo Milani Mora; Paulo Eduardo Borher Moreira; Bruno Previdelli Coghi; Guilherme Augusto Paro
Resumo
Palavras-chave
Abstract
Persistent double dorsal aorta is an extremely rare congenital anomaly, with only 13 cases published to date. The objective of this study is to present this embryological variant as observed in the abdominal aorta of a patient. The anatomical description was written up on the basis of a review of electronic medical records and imaging exams. The patient in this case was an elderly 79-year-old man who presented at emergency with pain at rest in the left lower limb. He was admitted and laboratory tests and imaging exams were ordered. The variation was an imaging finding observed on angiotomography, consisting of complete separation of the abdominal aorta into two portions - a ventral and a dorsal, with different calibers – at the level of the third lumbar vertebra. There was also an anomalous origin of the inferior mesenteric artery.
Keywords
References
1 VanDyke CW, White RD. Congenital abnormalities of the thoracic aorta presenting in the adult. J Thorac Imaging. 1994;9(4):230-45.
2 Barry A. The aortic arch derivatives in human adult. Anat Rec. 1951;111(2):221-38.
3 Mills B, Gest T. Persistent double dorsal aorta: a systematic review of the literature. Clin Anat. 2017;30(4):517-24.
4 Mosquera JE, Micarelli R. Aorta doble [Double aorta]. Rev Fac Cien Med Univ Nac Cordoba. 1975;33(1-4):89-94. Spanish. PMid:1233588.
5 Hurtado CG, Westmoreland TJ, Patel PK, et al. Persistent double dorsal aorta surrounding large neuroenteric cyst. Ann Thorac Surg. 2022;113(3):e239.
6 Hamburger V, Hamilton HL. A series of normal stages in the development of the chick embryo. Dev Dyn. 1992;195(4):231-72.
7 O’Rahilly R. The timing and sequence of events in human cardiogenesis. Acta Anat. 1971;79(1):70-5.
8 Karadeli E, Ulu E. CT of double descending thoracic aorta in an adult female. Diagn Interv Radiol. 2009;15(3):179-81. PMid:19728263.
9 Trubnikov GV, Naĭmark DA, Nalobina MS, Kolomiets AI. Sluchaĭ dvoĭnoĭ aorty s vazorenal’noĭ gipertonieĭ [Case of double aorta with vasorenal hypertension]. Klin Med. 1977;55(2):138-41. Russian. PMid:853689.
10 Khristova M, Tsenova V, Gegova A. Riadŭk sluchaĭ na dvoĭna aorta descendens u vŭzrasten chovek [Rare case of a double descending aorta in an adult]. Eksp Med Morfol. 1985;24(3):44-9. Bulgarian. PMid:4065014.
11 Eibach E, Walter E. Einseitige Nierenagenesie, kombiniert mit Aorta duplex persistens und Skelettanomalien [Unilateral renal agenesia, combined with aorta duplex persistens and skeletal anomalies]. Röfo Fortschr Geb Röntgenstr Neuen Bildgeb Verfahr. 1978;129(3):386-7.
12 Formanek AG, Weisner KM, Lantz PE. Anomaly of the descending aorta: a case of persistent double dorsal aorta. AJR Am J Roentgenol. 1991;156(5):1033-5.
13 Brew S, Waldman A, Casey A, Taylor W. Anomalous intercostal arterial trunk: a case report. Interv Neuroradiol. 2001;7(2):131-3.
14 Chang J, Rubin GD. Solitary intercostal arterial trunk: a previously unreported anatomical variant. Circ Cardiovasc Imaging. 2009;2(6):e49-50.
15 Edwards J, Bowers G, Bates W 3rd, Forseen S. Solitary intercostal arterial trunk: second case report. J Vasc Interv Radiol. 2013;24(11):1758-9.
16 Jie B, Yu D, Jiang S. Anomalous posterior intercostal arterial trunk arising from the abdominal aorta. Cardiovasc Intervent Radiol. 2016;39(4):624-7.
Submitted date:
10/10/2023
Accepted date:
02/21/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email