ABSTRACT
We present a congenital variation of the origin of the supraaortic trunks discovered on an angioscan and described here for the first time in the literature. This variation combines a common carotid trunk, an arteria lusoria and an aberrant origin of the vertebral arteries, from the common carotid artery on the right side and from the aortic arch on the left. This complex anomaly is asymptomatic like most of the arterial variations but its detection is useful, even essential preoperatively, in order to adapt the intervention and limit potential complications.
Subject(s)
Aorta, Thoracic/abnormalities , Carotid Artery, Common/abnormalities , Lupus Erythematosus, Systemic/diagnostic imaging , Subclavian Artery/abnormalities , Vertebral Artery/abnormalities , Aorta, Thoracic/diagnostic imaging , Carotid Arteries/abnormalities , Carotid Arteries/diagnostic imaging , Carotid Artery, Common/diagnostic imaging , Coronary Angiography , Female , Humans , Middle Aged , Subclavian Artery/diagnostic imaging , Vertebral Artery/diagnostic imagingABSTRACT
Vascular complications following laparoscopic cholecystectomy are less frequent but carry higher morbidity than bile ducts lesions. We report on a 19-year-old patient, who presented a ruptured pseudoaneurysm of the hepatic artery 2 months after laparoscopic cholecystectomy. This case illustrates the alternative of direct transhepatic puncture with exclusive glue embolization in case of endovascular access failure.
