AI Article Synopsis
- A 73-year-old woman experienced recurrent headaches and dizziness, leading to a referral to a cardiology department due to suspected significant stenosis in her left internal carotid artery, along with a past history of hypertension.
- After normal neurological exams and lab tests, a neck vascular ultrasound revealed a low bifurcation in the left common carotid artery and a hypoplastic left internal carotid artery with a sinuous path.
- A CT angiography confirmed these findings, showing an unusual anatomy of the left common carotid artery and revealed that the left vertebral artery originated directly from the aortic arch with a kinking trajectory.
Article Abstract
A 73-year-old woman was referred to our Cardiology Department due to recurrent headaches and dizziness. She had a history of hypertension of 10 years. In the territorial hospital, left internal carotid artery significant stenosis was suspected. Neurological examination and laboratory tests were normal. A neck vascular ultrasound was performed, showing a low bifurcation of the left common carotid artery (CCA) and a hypoplastic left internal carotid artery (ICA) with a sinuous path at the cervical level. Therefore, a computed tomographic (CT) angiography examination of the head and neck vessels was performed. The images confirmed the presence of a hypoplastic left ICA, anatomic variation in the left CCA, and also showed that the left vertebral artery (VA) was stemming directly from the aortic arch, exhibiting a kinking trajectory.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8774562 | PMC |
| http://dx.doi.org/10.3390/diagnostics12010169 | DOI Listing |
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