Carotid endarterectomy in rare bilateral carotid-vertebral anastomosis

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Presentation transcript:

Carotid endarterectomy in rare bilateral carotid-vertebral anastomosis Raffaele Pulli, MD, Massimo Gatti, MD, Carlo Pratesi, MD Journal of Vascular Surgery Volume 33, Issue 5, Pages 1122-1124 (May 2001) DOI: 10.1067/mva.2001.113975 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Digital subtraction arteriography showing stenosis with deeply ulcerated plaque of right internal carotid artery. Journal of Vascular Surgery 2001 33, 1122-1124DOI: (10.1067/mva.2001.113975) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Bilateral anomalous vessel arising from proximal internal carotid artery shown in arteriography. Journal of Vascular Surgery 2001 33, 1122-1124DOI: (10.1067/mva.2001.113975) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Digital subtraction arteriography showing aortic arch and supra-aortic trunks and bilateral agenesia of V1 segment of vertebral artery. Journal of Vascular Surgery 2001 33, 1122-1124DOI: (10.1067/mva.2001.113975) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Schematic showing embryonal cerebral circulation (schematic). A, Anterior cerebral circulation; B, posterior cerebral circulation. Modified from Lie TA. Congenital anomalies of the carotid arteries. Amsterdam: Excerpta Medica Foundation; 1968. p. 60, as reported by Ouriel et al: Anomalous carotid-basilar anastomoses in cerebrovascular surgery. J Vasc Surg 1988;7:774-7.) Journal of Vascular Surgery 2001 33, 1122-1124DOI: (10.1067/mva.2001.113975) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions