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RESEARCH PRODUCT
Carotid artery stenting with contralateral carotid occlusion in a rare aortic arch configuration
Gaetano VitaleMarco CarusoGuido BajardiFelice PecoraroUmberto Bracalesubject
MaleAortic archmedicine.medical_specialtyVascular Malformationsmedicine.medical_treatmentCarotid arteriesCarotid StenosiSubclavian ArteryAorta ThoracicCarotid endarterectomySettore MED/22 - Chirurgia Vascolaremedicine.arteryInternal medicineStentcarotid artery disease aortic arch anomalies carotid stenting contralateral occlusionmedicinecarotid occlusionHumansThoracic aortaCarotid Stenosiscardiovascular diseasesEsophagusaortic arch anomalieSubclavian arteryUltrasonography Doppler DuplexVascular Malformationcarotid artery stentingbusiness.industryMedicine (all)General MedicineMiddle Agedmedicine.diseaseStenosisTreatment Outcomemedicine.anatomical_structureConcomitantcardiovascular systemCardiologyStentsTomography X-Ray ComputedCardiology and Cardiovascular MedicinebusinessAngioplasty BalloonCarotid Artery InternalHumandescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2010-08-01 | Journal of Cardiovascular Medicine |