Bovine Aortic Arch, A High-Risk Variant

The bovine aortic arch is a vascular variant related to an increased incidence of vascular and neurological complications. It should be ruled out in patients with vague neurological symptoms without a clear etiology. Our case is of a 72-year-old female patient who presented with a syncopal episode;...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 14; no. 5
Main Authors Shaban, Mohammed, Budhathoki, Pravash, Lee, Somin, Bhatt, Tanushree, Rodriguez Guerra, Miguel A, Zaw, May
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 29.05.2022
Cureus
Subjects
Aneurysms
Calcification
Cardiac/Thoracic/Vascular Surgery
Carotid arteries
Case reports
Cattle
Coronary vessels
Cysts
Disease
Internal Medicine
Ischemia
Neurology
Patients
Shear stress
Stroke
Veins & arteries
White people
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Summary:The bovine aortic arch is a vascular variant related to an increased incidence of vascular and neurological complications. It should be ruled out in patients with vague neurological symptoms without a clear etiology. Our case is of a 72-year-old female patient who presented with a syncopal episode; the workup incidentally showed the aortic arch bovine variant with evidence of ischemic white matter disease more than expected for age. After reviewing the related literature, we suggest that this aortic variant is likely an independent risk factor for multiple vascular complications. A close follow-up is essential, and screening should be considered for symptomatic family members.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.25456