Spontaneous innominate and left common carotid artery dissection with bovine aortic arch

Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters.

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Successfully Kissing Stent of Innominate Artery and Left Common Carotid Artery Subsequent to Blunt Injury, in the Setting of a Bovine Aortic Arch

Annals of Vascular Surgery ◽

10.1016/j.avsg.2019.10.047 ◽

2020 ◽

Vol 64 ◽

pp. 410.e7-410.e10

Author(s):

Pietro Volpe ◽

Giovanni De Caridi ◽

Raffaele Serra ◽

Antonino Alberti ◽

Mafalda Massara

Keyword(s):

Carotid Artery ◽

Aortic Arch ◽

Common Carotid Artery ◽

Innominate Artery ◽

Left Common Carotid Artery ◽

Blunt Injury ◽

Kissing Stent ◽

Bovine Aortic Arch

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A Case of the Aortic and Left Common Carotid Artery Dissection in the Adults Who Starts with the Symptoms of Acute Cerebral Infarction

Advances in Clinical Medicine ◽

10.12677/acm.2021.115346 ◽

2021 ◽

Vol 11 (05) ◽

pp. 2405-2410

Author(s):

荣田

Keyword(s):

Carotid Artery ◽

Cerebral Infarction ◽

Common Carotid Artery ◽

Carotid Artery Dissection ◽

Left Common Carotid Artery ◽

Acute Cerebral Infarction ◽

Artery Dissection

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Type A aortic dissection secondary to a left common carotid artery dissection

Radiology Case Reports ◽

10.1016/j.radcr.2019.02.020 ◽

2019 ◽

Vol 14 (6) ◽

pp. 647-651

Author(s):

Simon Doran ◽

Yudy Llamas Osorio ◽

Mark Murphy ◽

Eoin Kavanagh ◽

Sean Murphy

Keyword(s):

Carotid Artery ◽

Aortic Dissection ◽

Common Carotid Artery ◽

Type A ◽

Carotid Artery Dissection ◽

Left Common Carotid Artery ◽

Artery Dissection ◽

Type A Aortic Dissection

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Spontaneous bilateral carotid artery dissection in a patient with bovine aortic arch

Vascular ◽

10.1177/1708538113489283 ◽

2013 ◽

Vol 22 (4) ◽

pp. 293-296

Author(s):

Dries De Cock ◽

Bart Meuris ◽

Johan Benett ◽

Walter Desmet

Keyword(s):

Carotid Artery ◽

Aortic Arch ◽

Carotid Artery Dissection ◽

Artery Dissection ◽

Bilateral Carotid ◽

The Common ◽

Bovine Aortic Arch ◽

First Time ◽

Spontaneous Dissection ◽

Bilateral Carotid Artery

Carotid artery dissections are commonly associated with trauma or various connective tissue disorders. Dissection of the cerebrovascular arteries can result in ischemic stroke and is a frequent stroke etiology in younger patients. Anatomical variants of aortic arch branching, such as the ‘bovine’ aortic arch, are assumed to have little or no physiological consequence. To the best of our knowledge, we present for the first time a case of spontaneous dissection of the common origin of the innominate and left common carotid artery in a bovine aortic arch, resulting in bilateral dissection of the carotid arteries.

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