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Coexistence of the Absence of the Left Common Carotid Artery, a Common Origin of the Left External Carotid Artery and the Right Common Carotid Artery, and an Aberrant Right Subclavian Artery: A Case Report

좌경동맥 결손, 좌외경동맥과 우경동맥 공통줄기 기형 및 이상 우쇄골하동맥의 동반 발생: 증례 보고

  • Soo Jeong Lee (Department of Radiology, CHA Bundang Medical Center, CHA University) ;
  • Hye Jeong Choi (Department of Radiology, CHA Bundang Medical Center, CHA University) ;
  • Sang Heum Kim (Department of Radiology, CHA Bundang Medical Center, CHA University)
  • 이수정 (차의과학대학교 분당차병원 영상의학과) ;
  • 최혜정 (차의과학대학교 분당차병원 영상의학과) ;
  • 김상흠 (차의과학대학교 분당차병원 영상의학과)
  • Received : 2020.07.19
  • Accepted : 2020.10.02
  • Published : 2021.07.01

Abstract

The absence of the common carotid artery (CCA) and the common origin of the left external carotid artery (ECA) and the right CCA are rare anomalies of the cervical vascular system. We report here a case involving the coexistence of these vascular anomalies with an aberrant right subclavian artery, which is a common congenital anomaly in the aortic arch, and review the embryologic mechanism and clinical importance of this case.

경동맥 무발생 및 좌외경동맥과 우경동맥 공통줄기기형의 동반 발생은 매우 드문 선천적 목혈관기형이다. 저자들은 위의 드문 기형들과 함께 흔한 대동맥궁 기형인 이상 우쇄골하동맥이 발생한 증례를 경험하였고 발생학적 기전과 임상적 중요성을 문헌 고찰을 통해 보고하고자 한다.

Keywords

References

  1. Goyal S, Sinha AK. A rare case of absent left common carotid artery with bovine origin of the left external carotid artery. BMJ Case Rep 2016;2016:bcr2016012540 
  2. Vasovic L, Trandafilovic M, Vlajkovic S. Congenital aplasia of the common carotid artery: a comprehensive review. Biomed Res Int 2019;2019:9896138 
  3. Polguj M, Chrzanowski L, Kasprzak JD, Stefanczyk L, Topol M, Majos A. The aberrant right subclavian artery (arteria lusoria): the morphological and clinical aspects of one of the most important variations--a systematic study of 141 reports. ScientificWorldJournal 2014;2014:292734 
  4. Yang GE, Lee BH. Coexistence of aberrant right subclavian artery and common carotid trunk. J Korean Soc Radiol 2012;66:329-331  https://doi.org/10.3348/jksr.2012.66.4.329
  5. Dungan DH, Heiserman JE. The carotid artery: embryology, normal anatomy, and physiology. Neuroimaging Clin N Am 1996;6:789-799 
  6. Cakirer S, Karaarslan E, Kayabali M, Rozanes I. Separate origins of the left internal and external carotid arteries from the aortic arch: MR angiographic findings. AJNR Am J Neuroradiol 2002;23:1600-1602 
  7. Lale P, Toprak U, Yagiz G, Kaya T, Uyanik SA. Variations in the branching pattern of the aortic arch detected with computerized tomography angiography. Adv Radiol 2014;2014:1-6  https://doi.org/10.1155/2014/969728
  8. Kau T, Sinzig M, Gasser J, Lesnik G, Rabitsch E, Celedin S, et al. Aortic development and anomalies. Semin Intervent Radiol 2007;24:141-152  https://doi.org/10.1055/s-2007-980040
  9. Tosenovsky P, Quigley F, Golledge J. Hybrid repair of an aberrant right subclavian artery with Kommerell's diverticulum. EJVES Extra 2010;19:e31-e33  https://doi.org/10.1016/j.ejvsextra.2010.01.001