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Aberrant common carotid artery encountered during free jejunal graft repair of oesophageal stricture

Published online by Cambridge University Press:  29 June 2007

M. J. Prior ,
I. J. M. Johnson ,
K. Jones  and
J. F. Sharp
M. J. Prior*
Affiliation:
Department of Otolaryngology, Derbyshire Royal Infirmary, Derby, UK.
I. J. M. Johnson
Affiliation:
Department of Otolaryngology, Derbyshire Royal Infirmary, Derby, UK.
K. Jones
Affiliation:
Department of Otolaryngology, Derbyshire Royal Infirmary, Derby, UK.
J. F. Sharp
Affiliation:
Department of Otolaryngology, Derbyshire Royal Infirmary, Derby, UK.
*
Address for correspondence: M. J. Prior, 17 Roegate Drive, St Anne's Park, Bristol BS4 4DX.
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Abstract

The origin and course of the carotid arterial sysem in the superior mediastinum and neck are remarkably constant. Although variations are rare, they can have important implications in certain clinical problems. In this report, a patient underwent free jejunal graft repair of a cervical oesophageal stricture caused by radiotherapy for a post-cricoid carcinoma. The common carotid artery on the side of the surgical approach was found to cross the midline to the other side of the neck, and created difficulties both with the procedure and future management. This has not been previously reported.

Keywords

Carotid arteryJejunumOesophagus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 8 , August 1997 , pp. 772 - 774
Copyright
Copyright © JLO (1984) Limited 1997

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References

Edelson, R. J., Locicero, J. (1989) Delayed haemorrhage from an anomalous carotid artery following tracheostomy. American Surgeon 55: 488–491.Google ScholarPubMed
Hollinshead, W. H. (1968) Anatomy for Surgeons: The Neck. Hoebler Medical Division. New York, p 524.Google Scholar
Iaccarino, I., Tedeschi, E., Brunetti, A., Soricelli, A., Salvatore, M. (1995) Congenital agenesis/aplasia of the internal carotid arteries: MRA and SPECT Findings. Journal of Computer Assisted Tomography 19: 987–990.CrossRefGoogle ScholarPubMed
Kunishio, K., Yamamoto, Y., Sunami, N., Asari, S. (1987) Agenesis of the left internal carotid artery, common carotid artery, and main trunk of the external carotid artery associated with multiple cerebral aneurysms. Surgical Neurology 27: 177–181.CrossRefGoogle ScholarPubMed
Leipzig, T. J., Dohrmann, G. J. (1986) The tortuous or kinked carotid artery: pathogenesis and clinical considerations—a historical review. Surgical Neurology 25: 478–486.CrossRefGoogle ScholarPubMed
Morimoto, T., Nitta, K., Kazekawa, K., Hashizume, K. (1990) The anomaly of a non-bifurcating cervical carotid artery. Journal of Neurosurgery 72: 130–132.CrossRefGoogle ScholarPubMed
Pretterklieber, M. L., Krammer, E. B., Mayr, R. (1991) A bilateral maxillofacial trunk in man: an extraordinary anomaly of the carotid system of arteries. Acta Anatomica 141: 206–211.CrossRefGoogle Scholar
Schlenska, G. K. (1986) Absence of both internal carotid arteries. Journal of Neurology 233: 263–266.CrossRefGoogle ScholarPubMed
Servo, A. (1977) Agenesis of the left internal carotid artery associated with an aneurysm of the right carotid siphon. Journal of Neurosurgery 46: 677–680.CrossRefGoogle Scholar
Williams, P. L., Wendell-Smith, C. P., Treadgold, S. (1969) Basic Human Embryology—The Arteries. Pitman Medical, London pp 118–119.Google Scholar