Surgical and Radiologic Anatomy

, Volume 41, Issue 7, pp 841–843 | Cite as

Vertebral artery triplication

  • Philippe GailloudEmail author
Anatomic Variations



To report an extremely rare vertebral artery (VA) origin configuration.


Angiographic and MRI features of a VA triplication in a child are presented.


The VA trifurcation was the result of the simultaneous persistence of the 4th, 5th and 6th primitive cervical intersegmental arteries, respectively, reaching the transverse canal at C4, C5 and C6. A contralateral VA duplication was noted as well.


A previously undocumented instance of VA triplication is presented. Knowledge of such variations is important for the planning of diagnostic and therapeutic cervicocranial angiography and the understanding of unusual images on noninvasive imaging studies. This type of anomaly also represents a risk factor for arterial dissection.


Anatomical variation Arteries Vertebral artery Angiography 


Author contributions

PG is sole author and responsible for entirety of manuscript.


No funding.

Compliance with ethical standards

Conflict of interest

P. Gailloud is a consultant for Cerenovus (honoraria) and a recipient of research Grants from Siemens Medical (paid to institution).


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Interventional NeuroradiologyThe Johns Hopkins HospitalBaltimoreUSA

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