A 31-year-old woman with an atypical descending thoracic VA

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Presentation transcript:

A 31-year-old woman with an atypical descending thoracic VA A 31-year-old woman with an atypical descending thoracic VA. A, DSA, left supreme intercostal artery injection, posteroanterior projection, subtracted view shows an example of a descending thoracic VA originating from the supreme intercostal artery (atypica... A 31-year-old woman with an atypical descending thoracic VA. A, DSA, left supreme intercostal artery injection, posteroanterior projection, subtracted view shows an example of a descending thoracic VA originating from the supreme intercostal artery (atypical form of Krassnig5); in this case, there is no connection with the cervical VA. The supreme intercostal artery provides the C7 (a) and T1 (b) ISAs as well as the lateral branch of the T2 ISA (c). A prominent ascending branch curves sharply downward to enter the first costotransverse space and continues caudally as a descending thoracic VA (black arrow) passing through the T2 and T3 the costotransverse spaces. This descending thoracic VA provides the T3 ISA (d) and the medial branch of the T2 ISA (gray arrowhead). Note the opacification of the T4 ISA (e) via a small paravertebral anastomotic connection (as shown in Fig 1, right side). The C7 ISA provides both an anterior (black arrowhead) and a posterior (white arrowhead) radiculomedullary artery. B, DSA, left supreme intercostal artery injection, posteroanterior projection, nonsubtracted view of same image. P. Gailloud et al. AJNR Am J Neuroradiol 2017;38:327-335 ©2017 by American Society of Neuroradiology