Bovine Aortic Arch and Bilateral Retroesophageal Course of Common Carotid Arteries in a Symptomatic Patient
Autor: | Giuseppina Schinco, Maurizio Domanin, Daniele Bissacco, Livio Gabrielli |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Aortic arch
medicine.medical_specialty Cardiovascular abnormalities Case Report Retroesophageal 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Carotid stenosis cardiovascular diseases Tomography x-ray computed medicine.diagnostic_test business.industry Aplasia medicine.disease Hypoplasia Carotid arteries Intubation procedure medicine.anatomical_structure 030220 oncology & carcinogenesis Agenesis Angiography cardiovascular system Upper limb Surgery Radiology Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
Zdroj: | Vascular Specialist International |
ISSN: | 2288-7989 2288-7970 |
Popis: | Anatomical variations of carotid arteries may be related to their development (agenesis, aplasia, hypoplasia) or course (coiling, kinking, tortuosity). Partial or total aberrancies in carotid vessel anatomy rarely occur. We describe the case of a 95-year-old woman presented with sudden onset of confusion and disorientation together with upper limb clonus. Computed tomography (CT)-scan revealed a left frontal brain injury with a not conclusive carotid doppler ultrasound. CT angiography reported a bovine aortic arch with bilateral retroesophageal course of both common carotid arteries and left severe (>70%) internal carotid artery stenosis. The knowledge of anatomical variations of the course of carotid arteries is relevant for possible surgical or endovascular repair or in case of otolaryngology or intubation procedures. |
Databáze: | OpenAIRE |
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