case_images: PMC10836487_01
case_images: Photographs of the superior mediastinum with the root of the neck and the interior of the heart of a donated embalmed male cadaver around 50 years old. (A) The left vertebral artery (double thin arrow) arising abnormally from the arch of the aorta (thick arrow), the left common carotid artery (small arrowhead) arising from the beginning of the brachiocephalic trunk (large arrowhead), and the left subclavian artery (thin short arrow) and the left vagus nerve (star). (B) The cavity of the right ventricle (stars) and the wire of the inserted pacemaker (double thin arrow).
case_images: cureus-0016-00000051591-i01.jpg
case_images: PMC10836487_01_cureus-0016-00000051591-i01.jpg
case_images: FIG1
case_images: It entered the left foramen transversarium of the C6 vertebra (Figure 1A). In the same case, the left common carotid artery was found to arise from the beginning of the brachiocephalic trunk instead of arising from the arch of the aorta itself (Figure 1A). Photographs were captured to document the concurrent vascular complications associated with the variant origin of the VA, as shown in Figure 1B.