title: Carotid artery stenting with contralateral carotid occlusion in a rare aortic arch configuration.
abstract: We present the case of a 47-year-old man admitted to our department with an episode of aphasia. Duplex scan showed an occluded right internal carotid artery and severe left internal carotid artery stenosis. Contrast-enhanced computer tomography demonstrated a common trunk for both common carotid arteries anterior to the trachea and aberrant right subclavian artery posterior to the esophagus. The patient was considered to be a high risk for carotid endarterectomy and, consequently, we performed stenting of the left carotid artery. To our knowledge, this is the first case reporting the combination of these two aortic arch anomalies and the concomitant endovascular treatment of atherosclerotic carotid stenosis.
authors.affiliation: Vascular and Endovascular Surgery Unit, University of Palermo, Palermo, Italy. umbracale@unipa.it
authors.forename: Umberto M
authors.initials: UM
authors.lastname: Bracale
authors.forename: Felice
authors.initials: F
authors.lastname: Pecoraro
authors.forename: Marco
authors.initials: M
authors.lastname: Caruso
authors.forename: Gaetano
authors.initials: G
authors.lastname: Vitale
authors.forename: Guido
authors.initials: G
authors.lastname: Bajardi
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D054079:Vascular Malformations / Q000150:complications* / Q000000981:diagnostic imaging