Sun YY, Zhang GM, Zhang YB, Du X, Su ML. Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome: A case report. World J Clin Cases 2019; 7(21): 3639-3648 [PMID: 31750348 DOI: 10.12998/wjcc.v7.i21.3639]
Corresponding Author of This Article
Mao-Long Su, MD, Chief Physician, Department of Ultrasound, Xiamen Cardiovascular Hospital Xiamen University, Hubinnan Road No. 205, Siming District, Xiamen 361000, Fujian Province, China. guomingpaper@126.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2019; 7(21): 3639-3648 Published online Nov 6, 2019. doi: 10.12998/wjcc.v7.i21.3639
Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome: A case report
Yuan-Yuan Sun, Guo-Ming Zhang, You-Bin Zhang, Xin Du, Mao-Long Su
Yuan-Yuan Sun, Xin Du, Mao-Long Su, Department of Ultrasound, Xiamen Cardiovascular Hospital Xiamen University, Xiamen 361000, Fujian Province, China
Guo-Ming Zhang, Department of Cardiology, Xiamen Cardiovascular Hospital Xiamen University, Xiamen 361000, Fujian Province, China
You-Bin Zhang, Department of Radiology, Zhongshan Hospital Xiamen University, Xiamen 361000, Fujian Province, China
Author contributions: Sun YY and Zhang GM contributed equally to this work; Sun YY and Du X acquired case information; Su ML designed research; Zhang YB acquired imaging examination data; Sun YY and Zhang GM wrote the paper.
Supported byFujian Province Medical Innovation Project, No. 2016-CXB-13.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Mao-Long Su, MD, Chief Physician, Department of Ultrasound, Xiamen Cardiovascular Hospital Xiamen University, Hubinnan Road No. 205, Siming District, Xiamen 361000, Fujian Province, China. guomingpaper@126.com
Telephone: +86-592-2992999 Fax: +86-592-2992999
Received: May 6, 2019 Peer-review started: May 8, 2019 First decision: September 9, 2019 Revised: September 23, 2019 Accepted: September 25, 2019 Article in press: September 25, 2019 Published online: November 6, 2019 Processing time: 186 Days and 23.8 Hours
Abstract
BACKGROUND
We report a rare case of numbness in the right hand, finally diagnosed as bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome and explain the cause of these diseases.
CASE SUMMARY
The patient was a 65-year-old woman. She complained of dizziness, numbness and weakness of the right hand for 6 mo. She was diagnosed with bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome by ultrasound, enhanced computed tomography, computed tomography angiography and other examinations. Considering the surgical risks, the patient refused the aberrant right subclavian artery stent implantation and was discharged. We hypothesize that these two kinds of deformity and right subclavian steal syndrome may not occur by accident and result from multiple malformations.
CONCLUSION
Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome is rare. This case reminds interventional radiologists of the possibility of these abnormalities before surgery.
Core tip: Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome is rare. No other similar domestic or foreign cases have been described. We hypothesized that the occurrence of blood steal syndrome may not be accidental and results from multiple malformations. This case reminds surgeons and interventional radiologists to be aware of the possibility of these abnormalities in patients with aortic arch abnormalities before surgery.
