scholarly journals A Rare Case of Persistent Flow Reversal in the Vertebral and Carotid Arteries

2003 ◽  
Vol 27 (1) ◽  
pp. 55-59
Author(s):  
Teresa Tice ◽  
Terry Rolan ◽  
Craig Cannon
Keyword(s):  
Carotid Artery ◽  
Rare Case ◽  
Carotid Arteries ◽  
Innominate Artery ◽  
Flow Reversal ◽  
The Right

Several types of steal syndromes have been described. We report here a case of persistent flow reversal in the right vertebral and carotid artery systems associated with occlusion of the innominate artery.

Endovascular Treatment of Innominate Artery Occlusion With Simultaneous Vertebral and Carotid Artery Distal Protection

Neurosurgery ◽  
2010 ◽  
Vol 66 (4) ◽  
pp. E843-E844 ◽  
Author(s):  
Michael F. Stiefel ◽  
Min S. Park ◽  
Cameron G. McDougall ◽  
Felipe C. Albuquerque
Keyword(s):  
Carotid Artery ◽  
Carotid Arteries ◽  
Innominate Artery ◽  
Artery Occlusion ◽  
Left Middle Cerebral Artery ◽  
Arterial Access ◽  
Atherosclerotic Stenosis ◽  
Protection Devices ◽  
Distal Protection ◽  
The Right

Abstract OBJECTIVE Atherosclerotic stenosis or obstruction of the innominate artery is rare. Traditional surgical management is a technically demanding intervention with acceptable, but not negligible, rates of morbidity and mortality. Endovascular approaches to supraaortic lesions have been successful and are now the preferred treatment for stenoses of the brachiocephalic vessels. The use of cerebral protection devices in subclavian and innominate interventions is less established. CLINICAL PRESENTATION A 58-year-old woman had Takayasu giant cell arteritis with a history of a left middle cerebral artery stroke 3 weeks after undergoing placement of a left common carotid artery (CCA) stent and right innominate artery stent in 1998. She recently presented with worsening dizziness, ataxia, and right arm numbness and was referred to the endovascular neurosurgery service for management. INTERVENTION Initial angiography revealed left CCA stenosis and right innominate occlusion. The patient initially underwent left CCA angioplasty, planned as a staged procedure. This was followed by recanalization of the right innominate artery through an approach using both femoral arteries and the right brachial artery. This 3-site technique allowed simultaneous distal protection of both the right cervical vertebral and carotid arteries. CONCLUSION Reopening a chronically occluded innominate artery risks an embolic shower through both the right vertebral and carotid arteries. Using multiple sites of arterial access, distal protection devices can be deployed in both the cervical vertebral and carotid arteries to reduce the risk of stroke.

Aneurysm of Right Cervical Aortic Arch with Abnormal Branching Pattern

1998 ◽  
Vol 6 (2) ◽  
pp. 135-137
Author(s):  
Sandeep Shrivastava ◽  
Shipra Shrivastava ◽  
Kurur Sankaran Neelakandhan
Keyword(s):  
Cardiopulmonary Bypass ◽  
Carotid Artery ◽  
Aortic Arch ◽  
Rare Case ◽  
Circulatory Arrest ◽  
Innominate Artery ◽  
Ascending Aorta ◽  
Branching Pattern ◽  
The Right ◽  
Total Circulatory Arrest

We report a rare case of congenital saccular aneurysm of the right cervical aortic arch in a 16-year-old girl. There were no branches arising from the aortic arch but 3 branches arose from the ascending aorta: the left innominate artery, the right common carotid artery, and the right subclavian artery. The aneurysm was successfully repaired with a plasma-preclotted woven Dacron interposition graft during profound hypothermic cardiopulmonary bypass without total circulatory arrest.

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.

scholarly journals High bifurcation of common carotid artery and origin of thyrolingual trunk - a rare case report

2015 ◽  
Vol 04 (02) ◽  
pp. 102-104
Author(s):  
Sudipa Biswas ◽  
Suranjali Sharma ◽  
Sanjib Kumar Ghosh ◽  
Soumya Chakraborty
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Rare Case ◽  
Superior Thyroid Artery ◽  
Clinical Implications ◽  
Medical College ◽  
Medial Side ◽  
Rare Case Report ◽  
The Right ◽  
North Bengal

AbstractIn this rare case, found during routine dissection of head and neck in North Bengal Medical College on the right side of the neck, common carotid artery bifurcated at a higher level than usual and 1.25 cm below the bifurcation, gave a common origin of lingual and superior thyroid artery from its medial side (thyorolingual trunk). No such anomaly was noted on the left side. This type of combination of variations has important clinical implications.

scholarly journals Carotid–carotid crossover bypass after mechanical thrombectomy for internal carotid artery occlusion due to plaque from stenosed innominate artery

2021 ◽  
Vol 12 ◽  
pp. 480
Author(s):  
Tomoaki Murakami ◽  
Shingo Toyota ◽  
Takuya Suematsu ◽  
Yuki Wada ◽  
Takeshi Shimizu ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Mechanical Thrombectomy ◽  
Innominate Artery ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Crossover Bypass ◽  
The Right ◽  
Innominate Artery Stenosis

Background: The treatment for internal carotid artery occlusion (ICAO) due to innominate artery stenosis is not well established. We herein describe a case of carotid–carotid crossover bypass and common carotid artery (CCA) ligation after mechanical thrombectomy for ICAO due to a plaque from the stenosed innominate artery. Case Description: A 70-year-old man was transferred to our hospital because of left-sided hemiparalysis. Head magnetic resonance imaging/angiography showed a cerebral infarction in the right middle cerebral artery area and the right ICAO due to a plaque from the stenosed innominate artery. Immediately, we performed mechanical thrombectomy and successfully attained partial revascularization (Thrombolysis in Cerebral Infarction Grade 2B). After a conference with cardiovascular group, we performed carotid–carotid crossover bypass and the right CCA ligation. The treatment was successful, and no complications occurred. Conclusion: Carotid–carotid crossover bypass and CCA ligation may be a better option for innominate artery stenosis in selected patients.

scholarly journals XXII. The development of the branchial arterial arches in birds, with special reference to the origin of the subclavians and carotids

1887 ◽  
Vol 42 (251-257) ◽  
pp. 429-432 ◽  
Keyword(s):  
Carotid Artery ◽  
Special Reference ◽  
Aortic Arch ◽  
Aortic Root ◽  
Common Carotid Artery ◽  
Innominate Artery ◽  
Adult Bird ◽  
Basal Portion ◽  
The Common ◽  
The Right

According to the theories of Rathke, which are universally accepted at the present day, the subclavian artery is supposed to take its origin from the aortic root or fourth embryonic branchial arterial arch. In the adult bird the subclavian on each side is found springing from, the extremity of an innominate artery along with the common carotid. It is presumed that the right subclavian has been, by a shortening of the aortic arch, carried forwards until it meets and fuses with the base of the common carotid artery; and the left subclavian is regarded as representing by its basal portion the fourth left arch or left primitive aorta.

scholarly journals Tortuous internal carotid artery presenting as a pharyngeal mass

2010 ◽  
Vol 124 (9) ◽  
pp. 1033-1036 ◽  
Author(s):  
S Hosokawa ◽  
H Mineta
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Surgical Procedures ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
Factors Affecting ◽  
The Right ◽  
Internal Carotid Arteries ◽  
Fatal Haemorrhage ◽  
Radiological Examinations

AbstractBackground:Deformities of the carotid artery are rare. Tortuosity, kinking and coiling of the internal carotid artery may be observed with advancing age. A tortuous internal carotid artery may cause an abnormal sensation in the throat. In the early twentieth century, there were several reported cases of fatal haemorrhage during pharyngeal surgical procedures, because this condition went undetected.Method and results:We present two cases of tortuosity of the right internal carotid artery. Both women complained of abnormal throat sensations. Endoscopic studies and radiological examinations revealed tortuous right internal carotid arteries presenting as pulsatile masses. A literature review revealed that, in most reported cases, this deformity occurred on the right side. We believe that the defect and its right-sided predominance can be attributed to anatomical influences and factors affecting blood pressure.Conclusion:In most reported cases of tortuous internal carotid artery, the defect occurred on the right side and patients complained of an abnormal sensation in the throat. This information is useful in the diagnosis of this condition. It is important for otolaryngologists to recognise this anomaly, because fatal haemorrhage can occur in patients with this condition during surgical procedures on the pharynx.

scholarly journals Thyroidea Ima Artery: A Report of Two Cases

2014 ◽  
Vol 5 (2) ◽  
pp. 89-90 ◽  
Author(s):  
Rijo M Jayaraju ◽  
Azeem Mohiyuddin ◽  
Shuaib Merchant ◽  
Sagaya Raj ◽  
Beauty Sasidharan
Keyword(s):  
Thyroid Gland ◽  
Carotid Artery ◽  
Female Patient ◽  
Innominate Artery ◽  
Anterior Surface ◽  
Arterial Variation ◽  
Accidental Injury ◽  
Anomalous Artery ◽  
The Right ◽  
Head Neck

ABSTRACT Thyroidea ima is a rare anomalous artery supplying the thyroid gland apart from the superior and inferior thyroid arteries. It is of surgical importance in thyroid, parathyroid and tracheal surgeries. Our study aims to highlight two cases of thyroidea ima artery found during thyroidectomy: • Case 1: Thyroidea ima artery was seen arising from the medial surface of the right common carotid artery in a female patient, who underwent total thyroidectomy. • Case 2: Thyroidea ima artery was seen arising from the anterior surface of the right innominate artery, in a female patient, who underwent right hemithyroidectomy. Conclusion Thyroidea ima artery, although a rare arterial variation, a thorough regional anatomic knowledge and meticulous dissection will not only help us in identifying such a vascular variation, also help us in preventing an accidental injury. How to cite this article Raj S, Mohiyuddin A, Merchant S, Jayaraju RM, Sasidharan B. Thyroidea Ima Artery: A Report of Two Cases. Int J Head Neck Surg 2014;5(2):89-90.

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