DOI QR코드

DOI QR Code

Combined Anatomical Anomalies of Direct Aortic Arch Origins of the Left Internal Carotid, Left External Carotid, and Left Vertebral Arteries: A Case Report

대동맥궁에서 독립적으로 기시하는 왼쪽 속목동맥, 왼쪽 바깥목동맥 및 왼쪽 척추동맥의 복합변이: 증례 보고

  • Dae Yun Park (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Byunghoon Lee (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Yoon Joon Hwang (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine)
  • 박대윤 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 이병훈 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 황윤준 (인제대학교 의과대학 일산백병원 영상의학과)
  • Received : 2022.05.04
  • Accepted : 2022.07.14
  • Published : 2023.01.01

Abstract

Various branch anomalies of the aortic arch have been reported, but cases with separate origins of the internal and external carotid arteries with combined direct aortic arch origin of the left vertebral artery are extremely rare. Herein, we present a rare case of aplasia of the left common carotid artery with separate origins of the ipsilateral internal and external carotid arteries and vertebral artery from the aortic arch in a 10-year-old girl. In addition, we review the embryological development and clinical implications of these anatomical variations.

대동맥궁 줄기의 다양한 기시변이는 잘 알려져 있으나 속목동맥과 바깥목동맥의 독립적인 기시와 동반된 척추동맥의 대동맥궁 직접 기시에 대한 보고는 매우 드물다. 저자들은 10세 여아에서 왼쪽 온목동맥의 무형성과 동측 속목동맥, 바깥목동맥 및 척추동맥이 대동맥궁에서 직접 기시하는 매우 드문 복합 변이를 증례로 보고하고자 한다. 또한, 이 증례 보고를 통해 해당 변이의 발생학적 기전과 임상적 의의를 살펴보았다.

Keywords

References

  1. Quinones G, Srinivasan A. Absence of the right common carotid artery: a rare case without separate origins of the internal and external carotid arteries. Clin Imaging 2017;43:184-187 
  2. Braun R, Velayudhan V, Loona J. Absent left common carotid artery in a trauma patient. J Vasc Interv Radiol 2017;28:230 
  3. Bhat V, Gadabanahalli K, Sharma R, Shah S. Unique branching pattern of aortic arch in a patient with aortopulmonary window. BJR Case Rep 2016;2:20150298 
  4. Choi KH, Baek HJ, Jung HK. Separate origins of the internal and external carotid arteries depicted on CT angiography: a case report. J Korean Soc Radiol 2015;73:124-126 
  5. Vasoviv L, Trandafiloviv M, Vlajkoviv S. Congenital aplasia of the common carotid artery: a comprehensive review. Biomed Res Int 2019;2019:9896138 
  6. Popieluszko P, Henry BM, Sanna B, Hsieh WC, Saganiak K, Pe˛kala PA, et al. A systematic review and meta-analysis of variations in branching patterns of the adult aortic arch. J Vasc Surg 2018;68:298-306.e10 
  7. Park C, Lee BH. Anomalous origins of the bilateral vertebral arteries arising from the aortic arch: a case report. J Korean Soc Radiol 2021;82:743-748 
  8. Bryan RN, Drewyer RG, Gee W. Separate origins of the left internal and external carotid arteries from the aorta. AJR Am J Roentgenol 1978;130:362-365 
  9. Hiratsuka Y, Endo H, Okamura N, Mikamoto M, Asayama B, Kamiyama K, et al. Separate origins of the left internal and external carotid arteries from the aorta in a patient with intracerebral hemorrhage. Radiol Case Rep 2022;17:1770-1772 
  10. Warschewske G, Benndorf G. Separate origin of the left internal and external carotid artery from the aortic arch associated with contralateral intracranial giant aneurysm. Interv Neuroradiol 1999;5:261-263