Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb

Aberrant vertebral artery (VA) origins are uncommon, and those arising from the carotid bulb are exceedingly rare. We report a 79-year-old man with a right thalamic stroke and subsequent amaurosis fugax that was found to have severe right carotid bulb and internal carotid artery stenoses, as well as...

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Main Authors:	Sally H.J. Choi, MD, Gary K. Yang, MD, PhD, Jerry Chen, MD, MSc
Format:	Article
Language:	English
Published:	Elsevier 2021-06-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:	Vertebral artery Anomalous Stroke Carotid stenosis Carotid trifurcation
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428721000150

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spelling	doaj-1522c044f4e749bdafffab84c4f0cd132021-06-25T04:49:58ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-06-0172203205Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulbSally H.J. Choi, MD0Gary K. Yang, MD, PhD1Jerry Chen, MD, MSc2Division of Vascular Surgery, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Vascular Surgery, University of British Columbia, Vancouver, British Columbia, CanadaCorrespondence: Jerry Chen, MD, MSc, FRCSC, Clinical Professor, Division of Vascular Surgery, University of British Columbia, 4203 - 2775 Laurel Str, Vancouver, BC, Canada BC, 55Z 1M9; Division of Vascular Surgery, University of British Columbia, Vancouver, British Columbia, CanadaAberrant vertebral artery (VA) origins are uncommon, and those arising from the carotid bulb are exceedingly rare. We report a 79-year-old man with a right thalamic stroke and subsequent amaurosis fugax that was found to have severe right carotid bulb and internal carotid artery stenoses, as well as an aberrant VA arising from the bulb. He underwent carotid endarterectomy including eversion endarterectomy of the VA and had no recurrence of amaurosis fugax or posterior circulation symptoms at the 1-year follow-up. We also present a comprehensive review of the literature, focusing on symptomatic cases and those arising from the carotid bulb.http://www.sciencedirect.com/science/article/pii/S2468428721000150Vertebral arteryAnomalousStrokeCarotid stenosisCarotid trifurcation
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Sally H.J. Choi, MD Gary K. Yang, MD, PhD Jerry Chen, MD, MSc
spellingShingle	Sally H.J. Choi, MD Gary K. Yang, MD, PhD Jerry Chen, MD, MSc Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb Journal of Vascular Surgery Cases and Innovative Techniques Vertebral artery Anomalous Stroke Carotid stenosis Carotid trifurcation
author_facet	Sally H.J. Choi, MD Gary K. Yang, MD, PhD Jerry Chen, MD, MSc
author_sort	Sally H.J. Choi, MD
title	Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb
title_short	Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb
title_full	Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb
title_fullStr	Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb
title_full_unstemmed	Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb
title_sort	thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2021-06-01
description	Aberrant vertebral artery (VA) origins are uncommon, and those arising from the carotid bulb are exceedingly rare. We report a 79-year-old man with a right thalamic stroke and subsequent amaurosis fugax that was found to have severe right carotid bulb and internal carotid artery stenoses, as well as an aberrant VA arising from the bulb. He underwent carotid endarterectomy including eversion endarterectomy of the VA and had no recurrence of amaurosis fugax or posterior circulation symptoms at the 1-year follow-up. We also present a comprehensive review of the literature, focusing on symptomatic cases and those arising from the carotid bulb.
topic	Vertebral artery Anomalous Stroke Carotid stenosis Carotid trifurcation
url	http://www.sciencedirect.com/science/article/pii/S2468428721000150
work_keys_str_mv	AT sallyhjchoimd thalamicstrokeinapatientwithaberrantrightvertebralarteryarisingfromanatheroscleroticcarotidbulb AT garykyangmdphd thalamicstrokeinapatientwithaberrantrightvertebralarteryarisingfromanatheroscleroticcarotidbulb AT jerrychenmdmsc thalamicstrokeinapatientwithaberrantrightvertebralarteryarisingfromanatheroscleroticcarotidbulb
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Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb

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