Abstract
Congenital absence of the internal carotid artery (ICA) is rare, and patients with such a condition are often asymptomatic throughout their lifetime, because of sufficient collateral circulation. Collateral flow is provided via various channels; however, the role of persistent embryonic vessels under conditions in which the ICA is absent or occluded is unknown. We report a rare case of congenital absence of the left ICA and describe the collateral pathway consisting of a persistent trigeminal artery.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Cohen JE, Gomori JM, Leker RR (2010) Internal carotid artery agenesis: diagnosis, clinical spectrum, associated conditions and its importance in the era of stroke interventions. Neurol Res 32:1027–1032
Given CA II, Huang-Hellinger F, Baker MD, Chepuri NB, Morris PP (2001) Congenital absence of the internal carotid artery: case reports and review of the collateral circulation. AJNR Am J Neuroradiol 22:1953–1959
Gonzalez-Cuyar LF, Lam-Himlin D, Tavora F, Burke A, Castellani RJ (2008) Bilateral internal carotid absence: a case report of a rare congenital anomaly. Cardiovasc Pathol 17:113–116
Gyotoku Y, Kawaji T, Inatani M, Fukushima M, Tanihara H (2008) Rubeosis iridis resulting from agenesis of the internal carotid artery: a case report. Open Ophthalmol J 2:165–166. https://doi.org/10.2174/1874364100802010165
Hattori T, Kobayashi H, Inoue S, Sakai N (1998) Persistent primitive trigeminal artery associated with absence of internal carotid artery. Surg Neurol 50:352–355
Kim MJ, Kim MS (2015) Persistent primitive trigeminal artery: analysis of anatomical characteristics and clinical significances. Surg Radiol Anat 37:69–74
Lasjaunias P, Berenstein A, Ter Brugge K (2001) Surgical neuroangiography. In: Clinical vascular anatomy and variations, vol 2.1, 2nd edn. Springer, Berlin, Heidelberg
Lie T, Hage J (1968) Congenital anomalies of the carotid arteries. Plast Reconstr Surg 42:283
Padget DH (1948) The development of the cranial arteries in the human embryo. Contr Embryol 32:205–261
Salas E, Ziyal IM, Sekhar LN, Wright DC (1998) Persistent trigeminal artery: an anatomic study. Neurosurgery 43:557–561
Author information
Authors and Affiliations
Contributions
Kim: manuscript writing, case analysis. Baek: project development, manuscript writing and editing, case analysis. Heo: case analysis. Jeong: manuscript editing, case analysis.
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, D., Baek, J.W., Heo, Y.J. et al. Congenital absence of the internal carotid artery with a persistent primitive trigeminal artery as a collateral pathway: a report of an anatomic variation. Surg Radiol Anat 40, 811–813 (2018). https://doi.org/10.1007/s00276-018-2025-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-018-2025-1