We present the case of a 47-year-old man admitted to our department with an episode of aphasia. Duplex scan showed an occluded right internal carotid artery and severe left internal carotid artery stenosis. Contrast-enhanced computer tomography demonstrated a common trunk for both common carotid arteries anterior to the trachea and aberrant right subclavian artery posterior to the esophagus. The patient was considered to be a high risk for carotid endarterectomy and, consequently, we performed stenting of the left carotid artery. To our knowledge, this is the first case reporting the combination of these two aortic arch anomalies and the concomitant endovascular treatment of atherosclerotic carotid stenosis.
Carotid artery stenting with contralateral carotid occlusion in a rare aortic arch configuration / Bracale, Umberto M.; Pecoraro, Felice; Caruso, Marco; Vitale, Gaetano; Bajardi, Guido. - In: JOURNAL OF CARDIOVASCULAR MEDICINE. - ISSN 1558-2027. - 11:8(2010), pp. 628-630. [10.2459/JCM.0b013e328336b56a]
Carotid artery stenting with contralateral carotid occlusion in a rare aortic arch configuration
Bracale, Umberto M.
;
2010
Abstract
We present the case of a 47-year-old man admitted to our department with an episode of aphasia. Duplex scan showed an occluded right internal carotid artery and severe left internal carotid artery stenosis. Contrast-enhanced computer tomography demonstrated a common trunk for both common carotid arteries anterior to the trachea and aberrant right subclavian artery posterior to the esophagus. The patient was considered to be a high risk for carotid endarterectomy and, consequently, we performed stenting of the left carotid artery. To our knowledge, this is the first case reporting the combination of these two aortic arch anomalies and the concomitant endovascular treatment of atherosclerotic carotid stenosis.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.