CASE REPORT
Rare cause of recurrent fainting – multiple kinking and brachiocephalic origin of the left common carotid artery
 
More details
Hide details
1
Department of Radiology, Medical University, Lublin, Poland
 
2
Department of Internal Medicine, Medical University, Lublin, Poland
 
 
Corresponding author
Ewa Kurys-Denis   

2nd Department of Radiology, Medical University, Staszica 16, 20-081 Lublin, Poland
 
 
J Pre Clin Clin Res. 2013;7(1):66-68
 
KEYWORDS
ABSTRACT
The case is presented of a 80-year-old male patient with a history of a few episodes of fainting. In the computed tomography of the head and CT angiography of the carotid arteries, an abnormal origin of the left common carotid artery from the brachiocephalic trunk and multiple, tortuous courses of cervical vessels were found. The purpose of this article is to describe clinical advances in patients with cerebral insufficiency secondary to kinking of the carotid arteries, and to discuss the methods used in the diagnosis and treatment.
 
REFERENCES (12)
1.
Paulsen F, Tillmann B, Christofides C, Richter W, Koebke J. Curving and looping of the internal carotid artery in relation to the pharynx: frequency, embryology and clinical implications. J Anat. 2000; 197: 373–381.
 
2.
Das SK, Browand TD, Byrom R. Aortic root anomalies of the neck presenting in adults. Review of the literature with three case reports. Eur J Vasc Endovasc Surg. 2005; 30: 48–51.
 
3.
Poultsides GA, Lolis ED, Vasquez J, MD, Drezner AD, MD, Venieratos D. Common origins of carotid and subclavian arterial systems: report of a rare aortic arch variant. Ann Vasc Surg. 2004; 18(5): 597–600.
 
4.
Saba L, Mallarini G. Correlation between kinking and coiling of the carotid arteries as assessed using MDCTA with symptoms and degree of stenosis. Clin Radiol. 2010; 65: 729–734.
 
5.
Lin PH, Bush RL, Reddy P, Lumsden AB. An unusual cause of dysphagia. Coil of the proximal common carotid artery: a case report. Vasc Surg. 2000; 34: 521–526.
 
6.
Milic DJ, Jovanovic MM, Zivic SS, Jankovic RJ. Coiling of the left common carotid artery as a cause of transient ischemic attacks. J Vasc Surg. 2007; 45: 411–413.
 
7.
Gupta A, Winslet MC. Tortuous common carotid artery as a cause of dysphagia. J R Soc Med. 2005; 98: 275–276.
 
8.
Szekely G, Csecsei GI. Anteposition of the internal carotid artery for surgical treatment of kinking. Surg Neurol. 2001; 56: 124–126.
 
9.
Illuminati G, Ricco J-B, Caliň FG, D’Urso A, Ceccanei G, Vietri F. Results in a consecutive series of 83 surgical corrections of symptomatic stenotic kinking of the internal carotid artery. Surgery. 2008; 143: 134–139.
 
10.
Benes V, Mohapl M. Alternative surgery for the kinked internal carotid artery. Acta Neurochir. 2001; 143: 1267–1272 (Wien).
 
11.
Lee SW, Antiga L, Spence JD, et al. Geometry of the carotid bifurcation predicts its exposure to disturbed flow. Stroke. 2008; 39: 2341–2347.
 
12.
Ballotta E, Thiene G, Baracchini C, et al. Surgical vs medical treatment for isolated internal carotid artery elongation with coiling and kinking in symptomatic patients: a prospective randomized clinical study. J Vasc Surg. 2005; 42: 838–846.
 
eISSN:1898-7516
ISSN:1898-2395
Journals System - logo
Scroll to top