Successful Carotid Endarterectomy in a Patient with Superior Thyroid Artery Originated from Common Carotid Artery

Tevfik GÜNEŞ; Fırat DURNA; İhsan ALUR; İbrahim GÖKŞİN; Ali Vefa ÖZCAN

Journals / Koşuyolu Heart Journal / 2016 / Cilt: 19 - Sayı: 3

Successful Carotid Endarterectomy in a Patient with Superior Thyroid Artery Originated from Common Carotid Artery

Superior Tiroidal Arterin Ana Karotis Arterden Köken Aldığı Hastada Başarılı Karotis Endarterektomi

Journal: Koşuyolu Heart Journal
Issue: 2016 · Cilt: 19 - Sayı: 3
Pages: 204–207
Publication Date: 2016-12-01
DOI: —

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AI Summary & Key Takeaways

AI Insight

⚡ TL;DR(Too Long; Didn't Read)

Therefore, the finding of the STA originating from the common carotid artery can provide an insight on difficulties with surgical access.

📌 3 Key Takeaways

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Objective & Hypothesis: The common carotid artery typically does not have any branches in the neck before it bifurcates into the external and internal carotid arteries.

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Key Findings & Data:Anomalies of the common carotid artery are rare and are usually incidental findings in postmortem anatomical dissection.

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Conclusion & Impact:Therefore, the finding of the STA originating from the common carotid artery can provide an insight on difficulties with surgical access.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Superior tiroid arter · ana karotis arter · karotis endarterektomi

Abstract

The common carotid artery typically does not have any branches in the neck before it bifurcates into the external and internal carotid arteries. Anomalies of the common carotid artery are rare and are usually incidental findings in postmortem anatomical dissection. One of these anomalies is the superior thyroid artery (STA), which occasionally originates from external carotid artery, arising from the common carotid artery. In this article, we present a successful carotid endarterectomy in a patient with an aberrant branch from the common carotid artery. Because carotid and vertebral artery Doppler ultrasonography and angiography showed subtotal occlusion at the left internal carotid artery, carotid endarterectomy was planned. When the left carotid artery was explored, the left STA was found arising from the common carotid artery. Traditional carotid endarterectomy was successfully performed. There is a relation between the origin of the STA and the site of bifurcation of the carotid artery in the literature. The STA tends to arise from the common carotid artery in the patients with high carotid bifurcation. Access to the internal carotid artery is an important step of carotid endarterectomy. Therefore, the finding of the STA originating from the common carotid artery can provide an insight on difficulties with surgical access.

Özet

Ana karotis arter eksternal ve internal ayırımından önce dal vermez. Anatomik varyasyonları nadirdir ve çoğu zaman postmortem anatomi çalışmalarında rastlantısal olarak görülmektedir. Bu varyasyonlardan biri de genelikle eksternal karotis arterden ayrılan superior tiroid arter (STA)’in ana karotis arterden köken almasıdır. Biz bu yazımızda karotis arter hastalığı nedeniyle operasyona alınan ve ana karotis arterden ayrılan STA varyasyonu olan hastada yapılan karotis endarterektomiyi sunmaktayız. Serebrovasküler olay öyküsü olan 55 yaşında erkek hastada yapılan karotis Doppler ultrasonografi ve karotis-vertebral anjiyografisinde sol internal karotis arterde stenoz saptanması üzerine hastaya operasyon planlandı. Sol karotis endarterektomi için yapılan boyun diseksiyonunda ana karotis arterden köken alan variant STA görüldü. Klasik yöntemle başarılı bir şekilde sol karotis endarterektomi yapıldı. Literatüre bakıldığında STA’nın köken aldığı bölge ile karotis arterin bifurkasyonunun seviyesi arasında bir ilişki olduğu görülmektedir. Yüksek seviyeli karotis arter bifurkasyonu olan hastalarda STA ana karotis arterden köken alma eğilimindedir. Karotis endarterektomide internal karotis artere erişim önemli basamaklardan biridir. Bu nedenle ana karotis arterden köken alan STA varlığı cerrahi erişimin zorluğunda öngörü sağlayabilir.

Keywords

Superior tiroid arter ana karotis arter karotis endarterektomi Superior thyroid artery common carotid artery carotid endarterectomy

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Cite This Article

GÜNEŞ, T., DURNA, F., ALUR, İ., GÖKŞİN, İ., ÖZCAN, A. V. (2016). Successful Carotid Endarterectomy in a Patient with Superior Thyroid Artery Originated from Common Carotid Artery. Koşuyolu Heart Journal, Cilt: 19 - Sayı: 3, 204–207. https://ajindex.com/articles/101229

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