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Left common carotid artery agenesis with bovine origin of the left internal carotid artery

  • Anatomic Variations
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Abstract

The absence of the left common carotid artery, with separate origins of the external carotid and internal carotid arteries from the aortic arc is a well-described but extremely rare congenital anomaly. We present a unique case of agenesis of left common carotid artery depicted at MR angiography where the left internal carotid artery had a bovine origin (from the brachiocephalic trunk) and the left external carotid artery arose from the aortic arc. In addition, it is important to diagnose this anatomical variant especially prior to interventional procedures, as it could hinder the catheterization of these arteries.

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References

  1. Boyd J (1934) Absence of the right common carotid artery. J Anat 68(pt 4):551–557

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Cakirer S, Karaarslan E, Kayabali M, Rozanes I (2002) Separate origins of the left internal and external carotid arteries from the aortic arch: MR angiographic findings. Am J Neuroradiol 23:1600–1602

    PubMed  Google Scholar 

  3. Goyal S, Sinha AK (2016) A rare case of absent left common carotid artery with bovine origin of the left external carotid artery. BMJ Case Rep. https://doi.org/10.1136/bcr-2016-012540

    Article  PubMed  Google Scholar 

  4. Layton KF, Kallmes DF, Cloft HJ, Lindell EP, Cox VS (2006) Bovine aortic arch variant in humans: clarification of a common misnomer. AJNR Am J Neuroradiol 27(7):1541–1542

    CAS  PubMed  Google Scholar 

  5. Malacarne V (1784) Osservazioni sopra alcune arterie del corpo umano nello stato preternaturale. Osservatore Chir (Torino) 2:119

    Google Scholar 

  6. Purkayastha S, Gupta AK, Varma DR, Bodhey NK, Vattoth S (2006) Absence of the left common carotid artery with cervical origin of the right subclavian artery. AJNR Am J Neuroradiol 27(3):708–711

    CAS  PubMed  Google Scholar 

  7. Wood EA, Malgor RD, Labropoulos N (2011) Diagnosing common carotid artery agenesis using duplex ultrasound. Vasc Endovasc Surg 45(8):727–732

    Article  Google Scholar 

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Acknowledgements

We thank Juan Antonio Pérez-García for the illustrations of the development of the carotid arteries.

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Authors and Affiliations

  1. Interventional Neuroradiology Department, Hospital General Universitario Gregorio Marañón, Calle del doctor Esquerdo, 46, 28007, Madrid, Spain

    Carlos Pérez-García

  2. Interventional Neuroradiology Department, Hospital Ruber Internacional, Calle de la Masó, 38, 28034, Madrid, Spain

    Antonio Pérez-Higueras

  3. Neurology Department, Hospital Regional Universitario de Málaga, Av. de Carlos Haya S/N, 29010, Málaga, Spain

    Pablo Cabezudo García

Authors
  1. Carlos Pérez-García
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  2. Antonio Pérez-Higueras
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  3. Pablo Cabezudo García
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Contributions

Protocol/project development: AP-H, PCG; data collection or management: CP-G, AP-H, PCG; data analysis: CP-G, AP-H, PCG; manuscript writing/editing: CP-G, AP-H.

Corresponding author

Correspondence to Carlos Pérez-García.

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The authors declare that there is no conflict of interest.

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Pérez-García, C., Pérez-Higueras, A. & Cabezudo García, P. Left common carotid artery agenesis with bovine origin of the left internal carotid artery. Surg Radiol Anat 40, 1177–1180 (2018). https://doi.org/10.1007/s00276-018-2070-9

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  • DOI: https://doi.org/10.1007/s00276-018-2070-9

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