Missed Dissection as a Result of the Ascending Pharyngeal Artery Arising From the Internal Carotid Artery

Unlike high-grade stenosis, dissections of craniocervical arteries are a rare cause of cerebrovascular infarction. If the internal carotid artery (ICA) dissection is verified by duplex scanning or computed tomography angiography (CTA), the therapies of choice are antiplatelet and anticoagulation dru...

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Veröffentlicht in:Annals of vascular surgery 2011-07, Vol.25 (5), p.701.e5-701.e8
Hauptverfasser: Babic, Srdjan, Mitrasinovic, Anka, Gajin, Predrag, Ilijevski, Nenad, Radak, Djordje
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container_end_page 701.e8
container_issue 5
container_start_page 701.e5
container_title Annals of vascular surgery
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creator Babic, Srdjan
Mitrasinovic, Anka
Gajin, Predrag
Ilijevski, Nenad
Radak, Djordje
description Unlike high-grade stenosis, dissections of craniocervical arteries are a rare cause of cerebrovascular infarction. If the internal carotid artery (ICA) dissection is verified by duplex scanning or computed tomography angiography (CTA), the therapies of choice are antiplatelet and anticoagulation drugs, and surgical treatment is rarely performed. However, despite distinct clinical and radiological manifestation, carotid dissections are still under-recognized. In this study, we demonstrate the case of a 66-year-old man with dissection of ICA verified by duplex scanning and computed tomography angiography. The cause of missed diagnosis was an ascending pharyngeal artery originating from the ICA that runs parallel to it. Other than being a rare variation, this case may be interesting as a cause of misdiagnosis.
doi_str_mv 10.1016/j.avsg.2011.02.009
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subjects Aged
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - surgery
Arteries - abnormalities
Carotid Artery Diseases - diagnosis
Carotid Artery Diseases - surgery
Carotid Artery, Internal - abnormalities
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Diagnostic Errors
Endarterectomy, Carotid
Humans
Male
Pharynx - blood supply
Predictive Value of Tests
Surgery
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color
Ultrasonography, Doppler, Duplex
Vascular Malformations - diagnosis
title Missed Dissection as a Result of the Ascending Pharyngeal Artery Arising From the Internal Carotid Artery
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