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.

Bracale, U.M., Pecoraro, F., Caruso, M., Vitale, G., & Bajardi, G. (2010). Carotid artery stenting with contralateral carotid occlusion in a rare aortic arch configuration. JOURNAL OF CARDIOVASCULAR MEDICINE, 11, 628-630 [10.2459/JCM.0b013e328336b56a].

Carotid artery stenting with contralateral carotid occlusion in a rare aortic arch configuration

PECORARO, Felice;BAJARDI, Guido
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.
Settore MED/22 - Chirurgia Vascolare
Bracale, U.M., Pecoraro, F., Caruso, M., Vitale, G., & Bajardi, G. (2010). Carotid artery stenting with contralateral carotid occlusion in a rare aortic arch configuration. JOURNAL OF CARDIOVASCULAR MEDICINE, 11, 628-630 [10.2459/JCM.0b013e328336b56a].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/50631
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