Spontaneous bilateral carotid artery dissection in a patient with bovine aortic arch.
Carotid artery dissections are commonly associated with trauma or various connective tissue disorders. Dissection of the cerebrovascular arteries can result in ischemic stroke and is a frequent stroke etiology in younger patients. Anatomical variants of aortic arch branching, such as the 'bovine' aortic arch, are assumed to have little or no physiological consequence. To the best of our knowledge, we present for the first time a case of spontaneous dissection of the common origin of the innominate and left common carotid artery in a bovine aortic arch, resulting in bilateral dissection of the carotid arteries.
Department of Cardiovascular Diseases, University Hospitals Leuven, Leuven, Belgium decockdries@gmail.com.
Dries De
DD
Cock
Department of Cardiovascular Surgery, University Hospitals Leuven, Leuven, Belgium.
Bart
B
Meuris
Department of Cardiovascular Diseases, University Hospitals Leuven, Leuven, Belgium.
Johan
J
Benett
Department of Cardiovascular Diseases, University Hospitals Leuven, Leuven, Belgium.
Walter
W
Desmet
D000784:Aortic Dissection / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000503:physiopathology; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D012307:Risk Factors; D016896:Treatment Outcome; D014463:Ultrasonography
Bovine arch; carotid artery dissection