Thyroidea Ima Artery: A Report of Two Cases

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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Anomalous innominate artery complicating tracheal surgical procedures

The Journal of Laryngology & Otology ◽

10.1017/s0022215121000049 ◽

2021 ◽

pp. 1-4

Author(s):

J J E Sargunaraj ◽

R R Paul ◽

S S Mathews ◽

R R A Albert

Keyword(s):

Carotid Artery ◽

Common Carotid Artery ◽

Neck Region ◽

Innominate Artery ◽

Accidental Injury ◽

Tracheal Surgery ◽

Computed Tomography Images ◽

Brachiocephalic Trunk ◽

Lower Neck ◽

The Right

Abstract Objective To highlight the importance of imaging in reducing an accidental injury to the anomalous brachiocephalic trunk and its branches during tracheal surgery. Case report This paper reports two cases of accidental injury to the great vessels in the neck during tracheal surgery. The first incident occurred during a repeat tracheostomy, when the right common carotid artery was injured. On reviewing the computed tomography images, the bifurcation of the brachiocephalic artery was seen to the left of the midline, and the right common carotid artery was adherent just below the tracheostomy site. The second incident happened during surgery for tracheal stenosis, when there was an inadvertent injury to the main brachiocephalic trunk, which was adherent to the trachea in the lower neck region. Conclusion For airway surgeons, radiological assessment of vascular structures in relation to the trachea prior to surgery is as important as the endoluminal airway assessment for the best outcome.

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Intrasellar Intercarotid Communicating Artery Associated with Agenesis of the Right Internal Carotid Artery: Case Report

Neurosurgery ◽

10.1227/00006123-198812000-00019 ◽

1988 ◽

Vol 23 (6) ◽

pp. 770-773 ◽

Cited By ~ 6

Author(s):

Masahiko Udzura ◽

Hiroo Kobayashi ◽

Yoshio Taguchi ◽

Hiroaki Sekino

Keyword(s):

Magnetic Resonance Imaging ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Spatial Relationship ◽

Resonance Imaging ◽

Anomalous Artery ◽

Magnetic Resonance Imaging Mri ◽

The Right ◽

Relationship Of

Abstract A 54-year-old man with a right hemiparesis was found to have an intrasellar intercarotid communicating artery associated with agenesis of the right internal carotid artery. Magnetic resonance imaging (MRI) studies demonstrated the spatial relationship of the anomalous artery to the surrounding structures, thus suggesting an embryonic enlargement of the capsular artery as a source of this anomalous artery.

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

Surgical Neurology International ◽

10.25259/sni_749_2021 ◽

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.

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Anomalous Superior Thyroid Artery

Kathmandu University Medical Journal ◽

10.3126/kumj.v8i4.6246 ◽

2012 ◽

Vol 8 (4) ◽

pp. 429-431 ◽

Cited By ~ 2

Author(s):

Vandana Mehta ◽

Rajesh K. Suri ◽

Jyoti Arora ◽

Gayatri Rath ◽

Srijit Das

Keyword(s):

Thyroid Gland ◽

Laryngeal Nerve ◽

Superior Thyroid Artery ◽

External Laryngeal Nerve ◽

Arterial Variations ◽

Anomalous Artery ◽

Unusual Distribution ◽

Male Cadaver ◽

Left And Right ◽

The Right

The variations in the pattern of distribution of superior thyroid artery assume paramount importance for neck surgeons, in view of its vital topographical relationship to the external laryngeal nerve. In this study, we report an unusual variation in the arterial supply of the thyroid gland, which was detected during a routine dissection of an adult male cadaver. The right superior thyroid artery was absent whereas the left superior thyroid artery took origin from the left common carotid artery and showed a dominant pattern of distribution supplying the superior aspect of both the left and right lobes of the thyroid gland. It exhibited a usual relationship with the left external laryngeal nerve. The inferior thyroid arteries did not show any unusual distribution. Knowledge of such arterial variations related to the thyroid gland is immensely helpful for surgeons in order to put ligature on anomalous artery and to avoid damage to vital structures in this area, such as the external laryngeal nerve.http://dx.doi.org/10.3126/kumj.v8i4.6246 Kathmandu Univ Med J 2010;8(4):429-31

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

Neurosurgery ◽

10.1227/01.neu.0000367549.33541.34 ◽

2010 ◽

Vol 66 (4) ◽

pp. E843-E844 ◽

Cited By ~ 16

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.

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Superficial brachial artery

VASA ◽

10.1024/0301-1526.34.3.195 ◽

2005 ◽

Vol 34 (3) ◽

pp. 195-197

Author(s):

Atahan ◽

Cetinus ◽

Yasim

Keyword(s):

Upper Extremity ◽

Female Patient ◽

Upper Limb ◽

Brachial Artery ◽

Health Professionals ◽

Invasive Procedures ◽

Arterial Variation ◽

Superficial Brachial Artery ◽

Therapeutic Procedures ◽

The Right

Anomalies of the ramification of arteries in the upper extremity are an important consideration due to the large number of invasive procedures, both diagnostic and therapeutic, performed particularly in the cubital region of the upper limb. It is important for health professionals to be aware of arterial variation to prevent complications during diagnostic and therapeutic procedures. Here, we describe a rare unilateral anomaly of the brachial artery which courses subcutaneously through the right arm to the cubital region in a 75 year-old female patient.

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

Proceedings of the Royal Society of London ◽

10.1098/rspl.1887.0094 ◽

1887 ◽

Vol 42 (251-257) ◽

pp. 429-432 ◽

Cited By ~ 1

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.

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Agenesis of the Left Internal Carotid Artery in the Right Aortic Arch with Isolation of the Left Innominate Artery Associated with Ruptured Cerebral Aneurysm: Case Report

NMC Case Report Journal ◽

10.2176/nmccrj.cr.2014-0252 ◽

2015 ◽

Vol 2 (2) ◽

pp. 46-48 ◽

Cited By ~ 1

Author(s):

Kouji Yamasaki ◽

Kiyotaka Yokogami ◽

Hajime Ohta ◽

Shinji Yamashita ◽

Takuma Kawasoe ◽

...

Keyword(s):

Case Report ◽

Carotid Artery ◽

Internal Carotid Artery ◽

Aortic Arch ◽

Cerebral Aneurysm ◽

Internal Carotid ◽

Innominate Artery ◽

Right Aortic Arch ◽

Left Internal Carotid Artery ◽

The Right

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

Journal for Vascular Ultrasound ◽

10.1177/154431670302700112 ◽

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.

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