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Isolated left common carotid artery: multidisciplinary management is the key to success

Published online by Cambridge University Press:  25 January 2022

Sakshi Sachdeva Open the ORCID record for Sakshi Sachdeva [Opens in a new window] ,
Saurabh Kumar Gupta Open the ORCID record for Saurabh Kumar Gupta [Opens in a new window] ,
Palleti Rajashekar ,
Priya Jagia  and
Leve Joseph Devarajan Sebastian
Sakshi Sachdeva
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
Saurabh Kumar Gupta*
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
Palleti Rajashekar
Affiliation:
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
Priya Jagia
Affiliation:
Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India
Leve Joseph Devarajan Sebastian
Affiliation:
Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India
*
Author for correspondence: Dr S. K. Gupta, Additional Professor of Cardiology, Room No. 9, 8th floor, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi 110029, India. Tel: +91-11-26594944. E-mail: drsaurabhmd@gmail.com
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Abstract

An isolated carotid artery is a rare aortic arch anomaly. Instead of connecting to the aorta, the isolated carotid artery connects anomalously to the pulmonary artery. Chronically altered cerebral circulation poses the risk of cerebral hyperaemia following surgical reimplantation. We describe successful reimplantation of the isolated left common carotid artery in a child, highlighting the importance of a multidisciplinary approach for good clinical and neurological outcomes. We also briefly discuss the embryologic basis of this rare arch anomaly.

Keywords

Isolation of carotid arteryCarotid reimplantationCerebral hyperperfusion syndrome
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 9 , September 2022 , pp. 1519 - 1526
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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