Aberrant common carotid artery encountered during free jejunal graft repair of oesophageal stricture.
The origin and course of the carotid arterial system in the superior mediastinum and neck are remarkably constant. Although variations are rare, they can have important implications in certain clinical problems. In this report, a patient underwent free jejunal graft repair of a cervical oesophageal stricture caused by radiotherapy for a post-cricoid carcinoma. The common carotid artery on the side of the surgical approach was found to cross the midline to the other side of the neck, and created difficulties both with the procedure and future management. This has not been previously reported.
Prior
M J
MJ
Department of Otolaryngology, Derbyshire Royal Infirmary, Derby, UK.
Johnson
I J
IJ
Jones
K
K
Sharp
J F
JF
D000368:Aged; D017536:Carotid Artery, Common / Q000002:abnormalities*; D004940:Esophageal Stenosis / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D007583:Jejunum / Q000637:transplantation