Pseudoaneurysm of the carotid artery with haemorrhage into the hypopharynx

1995 ◽  
Vol 109 (9) ◽  
pp. 889-891 ◽  
Author(s):  
Saichiro Tanaka ◽  
Yasuyuki Kimura ◽  
Mitsuru Furukawa
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Radical Neck Dissection ◽  
Artery Aneurysm ◽  
Piriform Sinus ◽  
Carotid Artery Aneurysm ◽  
The Common ◽  
The Right ◽  
The Relationship

AbstractPseudoaneurysms of the extracranial carotid arteries are rarely seen following irradiation for cancers of the head and neck. We present a patient with a pseudoaneurysm of the common carotid artery following a radical neck dissection and irradiation for thyroid carcinoma 20 years earlier. Following oesophagoscopical examination, a pseudoaneurysm of the right common carotid artery ruptured into the piriform sinus. The common carotid artery was embolized with multiple coils and the bleeding was halted. The relationship between the carotid artery aneurysm and irradiation, and the treatment of carotid artery aneurysm, is discussed.

scholarly journals Endothelial shear rate, local and regional vascular stiffness in patients in different stages of atherogenesis

2016 ◽  
Vol 15 (3) ◽  
pp. 50-56
Author(s):  
V. V. Genkel ◽  
A. O. Salachenko ◽  
O. A. Alekseeva ◽  
I. I. Shaposhnik
Keyword(s):  
Shear Stress ◽  
Shear Rate ◽  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Vascular Stiffness ◽  
Stiffness Index ◽  
The Common ◽  
Relationship Of ◽  
The Relationship

Introduction and purpose. Endothelial cells are subjected to biomechanical stress produced by the bloodstream and tunica media of the vessel. Vascular stiffness and endothelial shear stress have cooperative effects on the endothelial structure and function. However, the relationship of shear stress and arterial stiffness is still poorly understood. The purpose of the study was to assess the relationship of endothelial shear rate and both local and regional vascular stiffness in patients at different stages of the development of atherosclerosis. Methods. The study included 60 patients, 33 men and 27 women. The average age of patients was 54.8±11.7 years. Regional arterial stiffness was assessed by measurement of the pulse wave velocity in the arteries of elastic and muscular types. Local stiffness of the carotid arteries was characterized by Peterson elastic modulus, Young's modulus, stiffness index β, the deformation of the common carotid artery. Endothelial shear rate was measured at the site of the common carotid artery. Results. Average values of carotid endothelial shear rate were equal to 433±127 s-1. Reduced endothelial shear rate in the carotid arteries was associated with an increased Peterson modulus (r = -0.289; p = 0.025) and the stiffness index β (r = -0.280; p = 0.037), and moreover - with decreasing vascular distensibility (r = 0.288; p = 0.026) and deformation (r = 0.296; p = 0.024). Assessment of the relationship between endothelial shear rate and regional vascular stiffness showed weak statistically significant negative correlation of shear rate and PWVcf (r = -0.367; p = 0.014). Conclusion. In study subjects endothelial shear rate reduction in the area of the common carotid artery was associated with an increased Peterson modulus, stiffness index β, decreasing deformation of carotid arteries and increase in aortic stiffness.

Variations of the great arteries in the carotid triangle

2000 ◽  
Vol 122 (4) ◽  
pp. 590-591 ◽  
Author(s):  
Natalija Lučev ◽  
Dragica Bobinac ◽  
Ivana Marić ◽  
Ivan Drešćik
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Practical Importance ◽  
Superior Thyroid Artery ◽  
Anatomic Dissection ◽  
The Common ◽  
The Relationship ◽  
Internal Carotid Arteries

The variations of the common carotid artery, as well as of the external and internal carotid arteries, are described. During anatomic dissection on adult cadavers, we investigated the variability of appearance of 40 carotid arterial systems. Special consideration was given to the topographic relations such as the level of the bifurcation of the common carotid artery, the relationship between the external and internal carotid arteries, and the origin of the great collateral branches. Special attention was paid to the origin of the superior thyroid artery. In this article the practical importance of these variations is stressed.

Congenital Absence of the Common Carotid Artery With Common Origin of the Internal and External Carotid Arteries

2018 ◽  
Vol 42 (2) ◽  
pp. 78-81
Author(s):  
Maen Aboul Hosn ◽  
Amy Messner ◽  
William J. Sharp
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
Vascular Anomaly ◽  
Common Origin ◽  
Congenital Absence ◽  
External Carotid ◽  
Asymptomatic Patients ◽  
The Common ◽  
The Right

Congenital absence of the common carotid artery is a rare vascular anomaly that is usually discovered incidentally in otherwise asymptomatic patients and can potentially pose significant diagnostic and therapeutic challenges. Although it has been typically associated with separate origins of the internal and external carotid arteries, a common origin of both arteries is exceedingly rare and has been reported in 6 cases to date. We present the case of a 70-year-old female, who was referred for a carotid ultrasound after a carotid bruit was auscultated. Carotid duplex scan identified the congenital absence of the right common carotid artery with no significant internal carotid stenosis. This was confirmed by a computed tomography angiography scan of the neck, which showed the right internal and external carotid arteries sharing a common origin off the distal brachiocephalic artery.

scholarly journals Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Alessandro Robaldo ◽  
Guido Carignano ◽  
Alberto Balderi ◽  
Claudio Novali
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
High Risk Patient ◽  
Carotid Bifurcation ◽  
Left Common Carotid Artery ◽  
The Right ◽  
Bovine Aortic Arch ◽  
Common Carotid Arteries

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.

Giant Carotid Artery Aneurysm

2021 ◽  
pp. 153857442110171
Author(s):  
Amy M. Walter ◽  
Murray M. Flett ◽  
John Nagy ◽  
Stuart A. Suttie ◽  
Andrew Dalton ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Surgical Management ◽  
Saphenous Vein ◽  
Common Carotid Artery ◽  
Vein Graft ◽  
Artery Aneurysm ◽  
Neck Mass ◽  
Long Saphenous Vein ◽  
Carotid Artery Aneurysm ◽  
Peripheral Aneurysms

Carotid artery aneurysms account for 4% of peripheral aneurysms and may present as a neck mass, with hemispheric ischaemic symptoms, or with symptoms secondary to local compression. This case explores the presentation, investigations and management of a presumed mycotic common carotid artery aneurysm in a 77-year-old male, which was repaired using end-to-end interposition vein graft using long saphenous vein. This report discusses the aetiology, presentation and surgical management for carotid artery aneurysms, as well as focusing on that of the rare mycotic carotid artery aneurysm.

Clinical case of a patient with occlusive thrombosis of the right common carotid artery

2021 ◽  
Vol 27 (1) ◽  
pp. 79-86
Author(s):  
Anna S. Zotova ◽  
Tatyana V. Davydova ◽  
Anna M. Snigireva
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Asymptomatic Patient ◽  
Duplex Ultrasound ◽  
Carotid Bifurcation ◽  
Ultrasound Scanning ◽  
Severe Atherosclerosis ◽  
The Common ◽  
The Right ◽  
Color Duplex Ultrasound

The paper presents a case of a patient with floating thrombosis in the right common carotid artery and occlusion of the carotid bifurcation of the right common carotid artery against the background of severe atherosclerosis of the common carotid artery with 70% stenosis. Thrombosis was identified using color duplex ultrasound scanning in an asymptomatic patient. During hospitalization, thrombosis was complicated by a cerebral infarction of the right middle cerebral artery, apparently of embolic origin.

scholarly journals Variations in the anatomical relationship between the common carotid artery and the internal jugular vein: An ultrasonographic study

2015 ◽  
pp. 54-59 ◽  
Author(s):  
Mauricio Umaña Perea ◽  
Alberto Federico García ◽  
José Luis Castillo García ◽  
Luis Alfonso Bustamante Cristancho ◽  
Juan Sebastián Martínez Collazos
Keyword(s):  
Multivariate Analysis ◽  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Patients Âgés ◽  
Anterior Position ◽  
Anatomical Relationship ◽  
The Common ◽  
The Right

Introduction: The internal jugular vein locates anterior or anterolateral to the common carotid artery in two-thirds of the subjects studied by ultrasound when the head is in a rotated position. Aim: To identify variables associated with the anterior location of the internal jugular vein. Methods: Ultrasound examinations were performed with the patients in the supine position, with the head rotated to the opposite side. The proximal third of the neck was visualized transversely with a 7.5-mHz transducer. The relationship between the vessels was described in accordance with the proportion of the artery overlapped by the vein. Univariate comparisons and a multivariate analysis of potential variables that may affect the anatomic relationships were performed. Results: Seventy-eight patients were included, 44 of whom were men. The patients' ages ranged from 17 to 90 years (median 64.0, interquartile range 41-73). The right and left sides were studied 75 and 73 times, respectively. The vein was located lateral to the artery in 24.3% (95%CI= 17.4-32.2) of the studies, anterolateral in 33.8% (95%CI= 26.2-41.4) and anterior in 41.9% (95%CI= 33.9-49.8). The multivariate analysis identified age group (OR= 3.7, 95% CI 2.1-6.4) and, less significantly, the left side (OR= 1.7, 95%CI= 0.8-3.5) and male gender (OR= 1.2, 95%CI= 0.6-2.7) as variables associated with the anterior position of the vein. Conclusión: The anterior position of the internal jugular vein relative to the common carotid artery increases gradually with age. Additionally, left-sided localization and male sex further increased the probability of an anterior position.

scholarly journals Congenital Aplasia of the Common Carotid Artery: A Comprehensive Review

2019 ◽  
Vol 2019 ◽  
pp. 1-15 ◽  
Author(s):  
L. Vasović ◽  
M. Trandafilović ◽  
S. Vlajković
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Carotid Arteries ◽  
18Th Century ◽  
External Carotid ◽  
The Past ◽  
Online Databases ◽  
Congenital Aplasia ◽  
General Data ◽  
The Common

In an attempt to describe the morphofunctional consequences of uni- and bilateral aplasia of the common carotid artery (CCA), which is usually a vascular source of the external carotid (ECA) and internal carotid (ICA) arteries, we investigated online databases of anatomical and clinical papers published from the 18th century to the present day. We found 87 recorded cases of uni- and bilateral CCA aplasia in subjects from the first hours to the eighth decade of life, which had been discovered in 14 (known) countries. Four crucial parameters were described: the embryology of the carotid arteries, morphophysiology of the carotid arteries, CCA aplasia, and unilateral versus bilateral CCA aplasia, including history, general data, diagnosing, vascular sources, caliber, course of the separated ECA and ICA, associated vascular variants, and pathological disorders. To complete the knowledge of the morphofunctional consequences of the absence of some artery of the carotid system, and risking the possibility of repeating some words, as “carotid artery”, or “carotid aplasia” and the headings from our previous article about bilateral ICA absence, this review is the first in the literature that recorded all cases of the CCA aplasia published and/or cited for the past 233 years. Main characteristic of the CCA absence is its association with 21 different diseases, among which the aneurysms were in 13.69% of cases, and 17.80% of cases were without pathology.

A common carotid artery aneurysm causing severe dysphagia

1994 ◽  
Vol 108 (1) ◽  
pp. 67-68 ◽  
Author(s):  
J. G. Rowe ◽  
A. A. Hosni
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Artery Aneurysm ◽  
Unique Case ◽  
Extracranial Carotid Artery ◽  
Severe Dysphagia ◽  
Carotid Artery Aneurysm

AbstractExtracranial carotid artery aneurysms are rare, but are occasionally recognized as causing dysphagia. These aneurysms generally occur at or above the bifurcation. Here we present what we believe is a unique case: a common carotid artery aneurysm compressing the upper oesophagus, and mimicking the obstruction of a post-cricoid carcinoma.

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