Brachiocephalic artery anomaly at the neck: Importance during minimally invasive video-assisted parathyroidectomy

Subasi I., YÖRÜK Ö., ŞİPAL S., Karakaya A. D., Sengoz F.

Journal of Craniofacial Surgery, vol.24, no.6, 2013 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 6
  • Publication Date: 2013
  • Doi Number: 10.1097/scs.0b013e31829ad242
  • Journal Name: Journal of Craniofacial Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: Brachiocephalic artery, computed tomography, minimally invasive parathyroid surgery
  • Istanbul Medipol University Affiliated: No


A 76-year-old woman was referred to our hospital forevaluation of a parathyroid adenoma, detected on sonography. It had been located posteroinferiorly to the right thyroid lobe. Parathyroid scintigraphy confirmed the right inferior parathyroid adenoma. During physical examination of the neck, a pulsatile mass in the anterior inferior right was determined, and because of suspicion for a vascular anomaly, a computed tomography angiography was performed. The computed tomography showed that the right brachiocephalic artery ascended vertically to the level of the inferior border of right thyroid lobe and dividing into the right common carotid artery and subclavian artery at this level. Right subclavian artery after its origin brought about a curve by means of turning first posteromedially and then anterolaterally. Parathyroid adenoma remained between the right thyroid lobe, right common carotid artery, and right brachiocephalic artery. Minimally invasive videoassisted parathyroidectomy was performed and no complication appeared. Copyright © 2013 Mutaz B. Habal, MD.