Imaging Challenges in the Diagnosis of Anatomical Variations of the Supra-Aortic Vessels: A Case Report and Review of Literature

Dădârlat-Pop, Alexandra; Molnar, Adrian; Oprea, Alexandru; Tomoaia, Raluca; Boros, Bianca; Literat, Sorin; Serban, Adela; Manole, Simona

doi:10.3390/diagnostics12010169

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Imaging Challenges in the Diagnosis of Anatomical Variations of the Supra-Aortic Vessels: A Case Report and Review of Literature

Alexandra Dădârlat-Pop

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^3,4,†,

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^1,2,*

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¹,

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Cardiology Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania

Department of Cardiology, Iuliu Haţieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania

Cardiovascular Surgery Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania

⁴

Department of Cardiovascular Surgery, Iuliu Haţieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania

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Department of Radiology and Medical Imaging, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania

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Department of Radiology and Medical Imaging, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj Napoca, 8, Victor Babes, St, 400012 Cluj-Napoca, Romania

Author to whom correspondence should be addressed.

^†

These authors contributed equally to this work.

Academic Editor: Andrea D. Annoni

Diagnostics 2022, 12(1), 169; https://doi.org/10.3390/diagnostics12010169

Received: 20 November 2021 / Revised: 8 January 2022 / Accepted: 10 January 2022 / Published: 12 January 2022

(This article belongs to the Special Issue Advances in Carotid Artery Imaging)

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Abstract

A 73-year-old woman was referred to our Cardiology Department due to recurrent headaches and dizziness. She had a history of hypertension of 10 years. In the territorial hospital, left internal carotid artery significant stenosis was suspected. Neurological examination and laboratory tests were normal. A neck vascular ultrasound was performed, showing a low bifurcation of the left common carotid artery (CCA) and a hypoplastic left internal carotid artery (ICA) with a sinuous path at the cervical level. Therefore, a computed tomographic (CT) angiography examination of the head and neck vessels was performed. The images confirmed the presence of a hypoplastic left ICA, anatomic variation in the left CCA, and also showed that the left vertebral artery (VA) was stemming directly from the aortic arch, exhibiting a kinking trajectory. View Full-Text

Keywords: hypoplastic internal carotid artery; compensatory intracerebral circulation; multimodality imaging; vertebral artery congenital variations

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MDPI and ACS Style

Dădârlat-Pop, A.; Molnar, A.; Oprea, A.; Tomoaia, R.; Boros, B.; Literat, S.; Serban, A.; Manole, S. Imaging Challenges in the Diagnosis of Anatomical Variations of the Supra-Aortic Vessels: A Case Report and Review of Literature. Diagnostics 2022, 12, 169. https://doi.org/10.3390/diagnostics12010169

AMA Style

Dădârlat-Pop A, Molnar A, Oprea A, Tomoaia R, Boros B, Literat S, Serban A, Manole S. Imaging Challenges in the Diagnosis of Anatomical Variations of the Supra-Aortic Vessels: A Case Report and Review of Literature. Diagnostics. 2022; 12(1):169. https://doi.org/10.3390/diagnostics12010169

Chicago/Turabian Style

Dădârlat-Pop, Alexandra, Adrian Molnar, Alexandru Oprea, Raluca Tomoaia, Bianca Boros, Sorin Literat, Adela Serban, and Simona Manole. 2022. "Imaging Challenges in the Diagnosis of Anatomical Variations of the Supra-Aortic Vessels: A Case Report and Review of Literature" Diagnostics 12, no. 1: 169. https://doi.org/10.3390/diagnostics12010169

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Imaging Challenges in the Diagnosis of Anatomical Variations of the Supra-Aortic Vessels: A Case Report and Review of Literature

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