scholarly journals Bilateral Lower Cervical Bifurcation of the Common Carotid Artery

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Lokman Uzun ◽  
Numan Kokten ◽  
Adem Kilicaslan ◽  
Bulent Tasel ◽  
M. Tayyar Kalcioglu ◽  
...  

Lower cervical bifurcation of cervical common carotid artery (CCA) is a very rarely encountered anatomic variation. Knowing the normal vascular anatomy and also its anomalies is important in preventing the vascular complications. Ill-defined vascular anomalies may lead to massive hemorrhage and eventually death during head and neck surgery. Imaging of the neck by magnetic resonance Imaging (MRI), CT, or angiography is helpful for diagnosis. We present a 62-year-old male patient diagnosed with laryngeal carcinoma who had been treated. His MRI revealed bilateral low-level bifurcation of the cervical common carotid arteries as well as tumor localization and its boundaries. Total laryngectomy and right selective neck dissection was performed to the patient with the diagnosis of squamous cell carcinoma of the larynx. During the neck dissection, carotid bifurcation was detected in common border of Level 3 and Level 4 of the neck.

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Alessandro Robaldo ◽  
Guido Carignano ◽  
Alberto Balderi ◽  
Claudio Novali

Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters.


2021 ◽  
Vol 27 (1) ◽  
pp. 79-86
Author(s):  
Anna S. Zotova ◽  
Tatyana V. Davydova ◽  
Anna M. Snigireva

The paper presents a case of a patient with floating thrombosis in the right common carotid artery and occlusion of the carotid bifurcation of the right common carotid artery against the background of severe atherosclerosis of the common carotid artery with 70% stenosis. Thrombosis was identified using color duplex ultrasound scanning in an asymptomatic patient. During hospitalization, thrombosis was complicated by a cerebral infarction of the right middle cerebral artery, apparently of embolic origin.


2021 ◽  
Vol 103 (7) ◽  
pp. e238-e239
Author(s):  
S Shaw ◽  
K Maharaj ◽  
T Mirza

Head and neck surgeons must have a thorough knowledge of head and neck vascular anatomy and its variations. This case report documents a variation in the superior thyroid artery encountered during a neck dissection and discusses the surrounding literature. A 55-year-old female with squamous cell carcinoma of the tongue underwent a partial glossectomy, right level I–IV neck dissection and reconstruction with a radial forearm free flap. During the procedure, an arterial branch was encountered arising 2–3cm caudal to the common carotid bifurcation. This variant branch was shown to represent the superior thyroid artery. On review of the literature, various classification systems of the superior thyroid artery origin have been described. Awareness of such anatomical variation is vital for the head and neck surgeon to avoid unexpected complication.


2015 ◽  
Vol 21 (3) ◽  
pp. 387-389
Author(s):  
Raghu Ramaswamy ◽  
Mark R Villwock ◽  
Palma M Shaw ◽  
Amar Swarnkar ◽  
Eric M Deshaies ◽  
...  

We describe the case of a 61-year-old patient with significant medical co-morbidities and tortuous vascular anatomy presenting with a large middle cerebral artery aneurysm. To avoid the risks of general anesthesia and circumvent a majority of the tortuous vessels, the aneurysm was accessed by direct open exposure of the common carotid artery under conscious sedation and local anesthesia. We were able to achieve complete endovascular occlusion of the aneurysm and the patient tolerated the procedure well with no intra- or post-operative complications. Use of conscious sedation is possible and safe for direct open common carotid artery access in patients with significant vascular tortuosity that makes the standard trans-femoral approach difficult or impossible.


1980 ◽  
Vol 58 (9) ◽  
pp. 1126-1127 ◽  
Author(s):  
S. C. Pang ◽  
T. M. Scott

Comparison of blood pressures obtained by femoral and common carotid artery cannulation has shown that in the rat anaesthetized with Nembutal an increase in blood pressure occurs after neck surgery and common carotid artery cannulation.


2011 ◽  
Vol 57 (1) ◽  
pp. 63
Author(s):  
V Gupta ◽  
ND Karnik ◽  
M Itolikar ◽  
P Somani

Medicine ◽  
2019 ◽  
Vol 98 (40) ◽  
pp. e17477 ◽  
Author(s):  
Zhengzhou Yuan ◽  
Jinglun Li ◽  
Muke Zhou ◽  
Hongbo Zheng ◽  
Hua Luo ◽  
...  

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