Congenital absence of the common carotid artery in a patient with a ruptured anterior communicating artery aneurysm

Abstract

In a 41-year-old woman with a ruptured anterior communicating artery aneurysm, cerebral angiography incidentally showed an absence of the right common carotid artery. The right internal and external carotid artery originated from the ipsilateral inominate artery. The absence of the common carotid artery is extremely rare and association with a ruptured cerebral aneurysm is even less common. A description of the case and review of the literature are reported.

Republished: A rare case of absent left common carotid artery with bovine origin of the left external carotid artery

“…Supsupin7 first demonstrated bilateral absence of the common carotid artery on CT angiogram. There were two reported cases of this anomaly with symptomatic stenosis, and in three cases this was associated with intracranial aneurysm 8. In the present case, development of sinus thrombosis led to angiographic evaluation of the patient, leading to detection of this anomaly.…”

A rare case of absent left common carotid artery with bovine origin of the left external carotid artery

“…There were two reported cases of this anomaly with symptomatic stenosis, and in three cases this was associated with intracranial aneurysm. 8 In the present case, development of sinus thrombosis led to angiographic evaluation of the patient, leading to detection of this anomaly.…”

Congenital Aplasia of the Common Carotid Artery: A Comprehensive Review

“…ere was no associated pathology in 17.80% of cases; however, there were 21 different pathological states in other cases, and among them the aneurysms of some cerebral arteries in 13.69% [24,31,42,52,53,58,61,62,67,71]. e authors have presented the morphofunctional status of blood vessels and stated the clinical importance in the cases of the absence of the VA [92], or the bilateral ICA [93], and the CCA in this manuscript; the next task will be a comparison of the cases with the le and the ones with the right ICA absence.…”

“…If the DC persists, while the fourth PAA involutes, the third PAA could become the definitive arch of the aorta with separate ICA and ECA arising from it; when the anomaly is present on the right side, the ECA arises from the BT, whereas the ICA arises from the SA [5, 14−18], or both ECA and ICA could have separate origins from the BT [7,[19][20][21][22][23][24][25][26][27][28][29], or from the right SA [3].…”

“…In relation to the cases with known data, there was no associated pathology in 13/73 cases [1,11,16,18,23,26,28,43,49,51,59]. However, 21 various pathological states in other (60) cases were as follows: e amaurosis fugax [15], aneurysms of some cerebral arteries [24,31,42,52,53,58,61,62,67,71], arteriovenous stula [57], the carcinoma of the stomach [14], cerebral infarction [7,27,84], cervical spinal fusion [38], a cerebral vascular accident [25], a congenital cardiovascular anomaly [34,56,64,79,80,82,83], myocardial infarction [21], multiple block vertebrae [69], multiple sclerosis [22], Noonan syndrome [62], the occlusion of artery [5,7,63], parathyroid adenoma [60], posttraumatic artery dissection [29], pseudoaneurysm [57]…”