scholarly journals Coarctation of the aorta associated with agenesis of left common carotid artery and left subclavian artery

2016 ◽  
Vol 8 (5) ◽  
pp. E334-E336
Author(s):  
Yang Yang ◽  
Shiao Ding ◽  
Gaojun Xu ◽  
Hao Liu ◽  
Fangbao Ding
Keyword(s):  
Carotid Artery ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Coarctation Of The Aorta ◽  
Left Common Carotid Artery

scholarly journals Ascending aorta and aortic root replacement in an infant: a case report

2021 ◽  
Vol 25 (3) ◽  
pp. 83
Author(s):  
V. A. Mironenko ◽  
V. S. Rasumovsky ◽  
A. A. Svobodov ◽  
S. V. Rychin
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aortic Root ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Vascular Prosthesis ◽  
Ascending Aorta ◽  
Left Common Carotid Artery ◽  
Brachiocephalic Trunk

<p>We herein report the first clinical case of prosthetic replacement of the ascending aorta and aortic arch to repair a giant aneurysm in a 7-month-old child. The ascending aorta and arch replacement to the level of left subclavian artery was performed using a no. 16 Polymaille prosthesis, the brachiocephalic trunk was reimplanted into the vascular prosthesis and the kinked section of the left common carotid artery was removed, followed by reimplanting the left common carotid artery into the left subclavian artery. First, proximal anastomosis with the vascular prosthesis was created using a no. 16 Polymaille prosthesis and the vascular suture was strengthened with a Teflon strip. During circulatory arrest, the aortic arch was crossed between the orifice of the left common carotid artery and left subclavian artery, with the cut extended to the isthmus region along the small curvature of the arch. The brachiocephalic trunk was aligned and brought down, with subsequent implantation into the ascending aorta prosthesis 2 cm below the initial fixation point. In the final stage, the kinked section of the left common carotid artery was resected and the aligned left carotid artery was directly reimplanted into the left subclavian artery using end-to-side anastomosis. The patient developed tracheobronchitis and moderate heart failure during the postoperative period. The duration of mechanical ventilation was 16 hours. Infusion and antibacterial therapy were discontinued on postoperative day 8. On postoperative day 13, the patient was discharged and referred to the outpatient centre for further treatment and rehabilitation. A sufficiently large-sized prosthesis allows for further development in paediatric patients. This is facilitated by the preservation of the native aortic root with restored valve function and the formation of a bevelled distal anastomosis with a small unchanged aortic section in the isthmus region, which maintains growth potential. This first reported case of an infant demonstrates the possibility of combination interventions on the aortic arch and brachiocephalic artery during the first year of life.</p><p>Received 30 January 2021. Revised 24 March 2021. Accepted 29 March 2021.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> The authors declare no conflicts of interests.</p><p><strong>Contribution of the authors: </strong>The authors contributed equally to this article.</p>

Surgical bypass from the left common carotid artery to the left subclavian artery: Central approach

2021 ◽  
Keyword(s):  
Carotid Artery ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Thoracic Endovascular Aortic Repair ◽  
Left Common Carotid Artery ◽  
Aortic Diseases ◽  
Landing Zone ◽  
Surgical Bypass ◽  
Aneurysm Dissection

To create an optimal landing zone (zone 2) in the aortic arch for concomitant or subsequent thoracic endovascular aortic repair of aortic diseases (aneurysm, dissection), surgeons frequently need to debranch the supra-aortic vessels. We present a surgical debranching of the left subclavian artery by performing a centrally located bypass from the left common carotid artery to the left subclavian artery.

Complications associated with clamping the aorta between the left common carotid artery and left subclavian artery

2000 ◽  
Vol 70 (2) ◽  
pp. 558-561 ◽  
Author(s):  
Toshihiko Ueda ◽  
Hideyuki Shimizu ◽  
Katsumi Moro ◽  
Hankei Shin ◽  
Ryouhei Yozu ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Left Common Carotid Artery

scholarly journals Endo and exo aortic morphometry (endoluminal) in the aortic arch and its branches

2016 ◽  
Vol 22 (2) ◽  
pp. 103-107
Author(s):  
S. Malik ◽  
R. Baz ◽  
C. Dina ◽  
P. Bordei ◽  
A. Rusali ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Thoracic Aorta ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Average Diameter ◽  
Left Common Carotid Artery ◽  
Arterial Trunk ◽  
Horizontal Diameter

Abstract Our study was conducted by the examination of angioCT’s, performing external measurements of aortic arch and the exo and endoaortic measurements of its three. The diameter of the thoracic aorta prior to the origin of the brachiocephalic arterial trunk was found with an average of 31.65 mm and below the left subclavian artery origin we found an average diameter of 24.3 mm. The brachiocephalic arterial trunk had an average diameter of 11.575 mm, 6.05 at carotid artery level and 9.05 mm at the level of the left subclavian artery. The endoaortic average diameter of the brachiocephalic arterial trunk: horizontally, 13.0 mm and vertically 11.7 mm; left common carotid artery horizontal diameter was 10.5 mm and 9.7 mm vertically and the left subclavian artery have 14.1 mm horizontally and 10.8 mm vertically.

scholarly journals Isolation of Left Common Carotid Artery with Its Origin Proximal to Patent Ductus Arteriosus Presenting in Adult Age

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Anagha R. Joshi ◽  
Saurabh Joshi ◽  
Kiran Kale ◽  
Rahul Jain ◽  
Jernail Singh Bava
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Ductus Arteriosus ◽  
Clinical Importance ◽  
Left Common Carotid Artery ◽  
Adult Age ◽  
Ct Brain

Anomalies of aortic arch are a common occurrence. Such anomalies of right sided aortic arch with its various branching patterns are of clinical importance. Rarer anomalies include isolation (deficient connection) of either left subclavian artery or left common carotid artery; that is, they do not have their origin from aorta or its major branches. We present a case of an 18-year-old male who presented with gradual onset pulsatile swelling with bruit in neck on left side and was evaluated by CT brain and neck angiography. CT angiography revealed right sided aortic arch with aberrant left subclavian artery and isolated left common carotid artery. Very few cases of such an anomaly have been documented in the literature but none in an adult.

Surgical bypass from the left common carotid artery to the left subclavian artery: Supraclavicular approach

2021 ◽  
Keyword(s):  
Carotid Artery ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Artery Bypass ◽  
Left Common Carotid Artery ◽  
Patient Specific ◽  
Aortic Diseases ◽  
Supraclavicular Approach ◽  
Landing Zone

To create an optimal landing zone (zone 2) in the aortic arch for concomitant or subsequent thoracic endovascular aortic repair of aortic diseases (aneurysm, dissection), surgeons frequently need to debranch the supra-aortic vessels. In this video tutorial, we present an alternative to our 2 other video tutorials for surgical debranching of the left subclavian artery (link; link). Depending on patient-specific characteristics, surgical preference and local experience, the surgeon chooses the approach. Here we show how to safely perform a supraclavicular left common carotid artery-to-left subclavian artery bypass.

“Kissing Stents” as an Adjunct to Thoracic Endovascular Aortic Repair Warts and All

2012 ◽  
Vol 7 (4) ◽  
pp. 295-299
Author(s):  
Riyad Karmy-Jones ◽  
Stephen C. Nicholls
Keyword(s):  
Carotid Artery ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Open Repair ◽  
Left Subclavian Artery ◽  
Thoracic Endovascular Aortic Repair ◽  
Left Common Carotid Artery ◽  
Endovascular Aortic Repair ◽  
Thoracic Aneurysm ◽  
Landing Zone

A 75-year-old man presented with symptomatic thoracic aneurysm involving the origin of the left subclavian artery. To obtain an adequate landing zone, a simultaneous stent was placed in the left common carotid artery. Until fenestrated and branch graft technology is more available, snorkel approaches may be an acceptable approach for patients with contraindications to open repair.

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