Dizziness Result From Anomalous Origin of Left Common Carotid Artery
DOI:
https://doi.org/10.1532/hsf.4813Keywords:
carotid arteriesAbstract
Background: The anomalous origin of the left common carotid artery from the pulmonary artery is extremely scarce. At present, there are few relevant research and medical treatment data. This case is intended to provide relevant information and share treatment experiences.
Case information: A 6-year-old child was diagnosed with patent ductus arteriosus and underwent surgery five years ago with occasional dizziness. After examination, it was found that the abnormality of her left common carotid artery originated from the pulmonary artery, and the patient underwent arterial ligation with the monitoring of cerebral oxygen consumption by near-infrared spectroscopy after careful preoperative evaluation. At present, it has been two years after the operation, and the patient is in good condition and has received regular follow-up.
Conclusion: For patients with an abnormal left common carotid artery from the pulmonary artery, after careful preoperative evaluation such as cerebral angiography, under the monitoring of cerebral oxygen consumption by near-infrared spectroscopy, ligation of the proximal end of the artery of abnormal origin is safe and feasible.
References
Cohen JL, Stanford N, Torres A. 2019. Isolated left common carotid artery in an infant with pulmonary atresia and intact ventricular septum. Annals of Pediatric Cardiology. 12(2):156-158.
Fong LV, Venables AW. 1987. Isolation of the left common carotid or left innominate artery. Heart. 57(6):552-554.
Fouilloux V, Gran C, Kreitmann B. 2013. Isolated left common carotid artery connected to the pulmonary artery: where was the arterial duct? World Journal for Pediatric & Congenital Heart Surgery. 4(2):229.
Huang SF, Wu MH. 1996. Left common carotid artery arising from the pulmonary artery in a patient with DiGeorge syndrome. Heart Official Journal of the British Cardiac Society.
Hurley MC, Nguyen PH, DiPatri AJ, Shaibani A. 2008. Isolated origin of the left internal carotid artery from the pulmonary artery. J Neurosurg Pediatr. 2(3):207-211.
Kaushik N, Saba Z, Rosenfeld H, et al. 2005. An Isolated Left Common Carotid Artery from the Main Pulmonary Artery: Possible Malseptation of the Truncoaortic Sac. Pediatric Cardiology. 26(5):707-709.
Osakwe O, Jones B, Hirsch R. 2016. Anomalous Origin of the Left Common Carotid Artery from the Main Pulmonary Artery: A Rare Association in an Infant with CHARGE Syndrome. Case Rep Pediatr. 2064937.
Tozzi R, Hernanz-Schulman M, Kiley R, et al. 1989. Congenital pulmonary steal associated with Tetralogy of Fallot, right aortic arch and an isolated left carotid artery. Pediatr Radiol. 19(6-7):449-451.
