DOI: 10.36347/sajb.2018.v06i02.004

Pages: 158-162

A ‘bovine aortic arch’ in human is the commonest branching anomaly of Aortic Arch which is described as a common origin of Brachiocephalic Trunk and Left Common Carotid Artery. The term is considered as misnomer by some authors as it does not exactly match with the typical single branched aortic arch found in cattle. More than 20 different types of aortic arch branching anomalies have been reported. Each researcher has described the pattern of branching different ways. We report a rare anomalous branching of the aortic arch in an adult male cadaver. In the present case, Left Common Carotid Artery is originating from brachiocephalic trunk. Variations in the branching pattern of the arch of aorta can alter the cerebral haemodynamic that leads to cerebral abnormalities. Aberrant anatomy of aortic arch becomes relevant to interventional radiologists and CVTS surgeons in endovascular interventions in the head and neck and intracranial territories, thoracic endovascular aneurysm repair and diagnosis of an intracranial aneurysm after subarachnoid haemorrhage.