Anomalous Ascending Pharyngeal Artery Arising from the Internal Carotid Artery: Report of Three Cases

Cortés-Franco, Severiano; Muñoz, Asís Lorente; Franco, Trinidad Cortes; Ruiz, T Lopez

doi:10.1016/j.avsg.2012.10.003

Cited by 12 publications

(5 citation statements)

References 12 publications

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“…The blood supply to the oropharynx is primarily derived from branches of the external carotid artery with involvement of multiple collateral vessels and potential anatomic variations. However, cadaveric studies and multiple case reports have demonstrated anatomic variations contributing to the pharyngeal vascular supply from the internal carotid artery via aberrant branching patterns of the ascending pharyngeal artery …”

Section: Discussionmentioning

confidence: 99%

“…However, cadaveric studies and multiple case reports have demonstrated anatomic variations contributing to the pharyngeal vascular supply from the internal carotid artery via aberrant branching patterns of the ascending pharyngeal artery. [22][23][24][25] It is unclear whether the specificity of vessel ligation correlates to any changes in bleeding rates after surgery. The most commonly ligated vessels in this study (in combination or individually) were the external carotid artery, lingual artery, and facial artery.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of post–transoral robotic‐assisted surgery hemorrhage: Frequency, outcomes, and prevention

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of post–transoral robotic‐assisted surgery hemorrhage: Frequency, outcomes, and prevention

et al. 2015

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“…In our case we also observed two ascending pharyngeal arteries in the left side, originating from the medial or deep surface of the left external carotid artery just after the bifurcation of common carotid artery. S.Cortés-Franco et al in 2012 reported three cases of anomalous origin of ascending pharyngeal artery from ICA [6]. V. Gluncic et al in 2001 reported a case of anomalous origin of ascending pharyngeal artery (APA) from Internal Carotid Artery (ICA) just before its bifurcation which is higher than normal [7].…”

Section: Discussionmentioning

confidence: 99%

Anomalous Origin of Left Vertebral Artery From the Arch of Aorta and Presence of Double Ascending Pharyngeal Artery on the Left Side: A Case Report

Roy¹,

Pal²,

Kundu³

2016

IJAR

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The vertebral artery, being a part of the subclavian arterial system, has significant contribution in cerebral vasculature. Several researchers have reported anomalous origins of the vertebral artery earlier. Reporting of this relatively rare anomalous origin of vertebral artery with associated other vascular anomalies may help to widen the medical record regarding this important arterial system and henceforth will give broader idea to the clinicians about the possible variations during surgical and interventional procedures on this arterial system. Results: The anomalous origin of left vertebral artery from aortic arch and other associated vascular anomalies were noted during the routine academic dissection in an embalmed male cadaver of 70 yrs in the said institution's anatomy department. On the left side the vertebral artery originated from arch of aorta instead of subclavian artery between left common carotid artery and left subclavian artery. Also there were two ascending pharyngeal arteries on the left side originating from the external carotid artery; tThe branches from one supplied the pharynx (pharyngeal trunk) and the other one provided meningeal branches (neuromeningeal trunk). On the right side the origin of the vertebral artery and the number of ascending pharyngeal artery were both normal. Conclusions: Anatomical and morphological variations of the vertebral artery are of immense importance in surgery, angiography and other non-invasive and invasive clinical procedures. So it is of great importance to know the possible rare variations of the origin of the vertebral artery along with this rare instance of double ascending pharyngeal artery on left side.

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“…Increasingly, it has been recognised that supply from internal carotid artery (ICA) branches is more common than had previously been recognised. [5][6][7] Until recently, there have been no reports of embolisation of ICA branch feeding vessels in the literaturein fact, ICA branch embolisation has previously been considered contraindicated, 5,6 due to concerns over ischaemic complications. However, this is potentially problematic as a systematic review has found significantly increased intraoperative blood loss in ICA fed tumours, raising concerns that this may be at least partly attributable to the fact that the ICA branches feeding the tumour were not embolised preoperatively.…”

Section: Introductionmentioning

confidence: 99%

Pre-Operative Embolisation of an Aberrant Pharyngeal Arterial Branch Arising From the Internal Carotid Artery and Contributing Significantly to the Supply of a Large Juvenile Nasopharyngeal Angiofibroma

Dolan

Šurda

Sabharwal

2021

Vasc Endovascular Surg

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Preoperative embolisation of juvenile nasopharyngeal angiofibromas (JNAs) is a well-established treatment that reduces intraoperative blood loss and improves surgical outcomes. While the bulk of arterial supply to the tumour is derived from the external carotid system, some degree of contribution from the internal carotid artery (ICA) is common. ICA branch embolisation in this setting has previously been avoided due to concerns over ischaemic neurological complications, possibly contributing to the increased intraoperative blood loss observed in patients with tumours with ICA supply. There is a marked paucity of reports of embolisation of ICA branches supplying JNA in the medical literature. We present a case of successful embolisation of an aberrant pharyngeal branch of the ascending pharyngeal artery arising from the proximal cervical ICA, which was making a significant contribution to tumour blood supply in a male adolescent with a very large JNA.

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Anomalous Ascending Pharyngeal Artery Arising from the Internal Carotid Artery: Report of Three Cases

Cited by 12 publications

References 12 publications

Analysis of post–transoral robotic‐assisted surgery hemorrhage: Frequency, outcomes, and prevention

Analysis of post–transoral robotic‐assisted surgery hemorrhage: Frequency, outcomes, and prevention

Anomalous Origin of Left Vertebral Artery From the Arch of Aorta and Presence of Double Ascending Pharyngeal Artery on the Left Side: A Case Report

Pre-Operative Embolisation of an Aberrant Pharyngeal Arterial Branch Arising From the Internal Carotid Artery and Contributing Significantly to the Supply of a Large Juvenile Nasopharyngeal Angiofibroma

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