Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome: A case report  

作　　者：Yuan-Yuan Sun Guo-Ming Zhang You-Bin Zhang Xin Du Mao-Long Su 

机构地区：[1]Department of Ultrasound,Xiamen Cardiovascular Hospital Xiamen University,Xiamen 361000,Fujian Province,China [2]Department of Cardiology,Xiamen Cardiovascular Hospital Xiamen University,Xiamen 361000,Fujian Province,China [3]Department of Radiology,Zhongshan Hospital Xiamen University,Xiamen 361000,Fujian Province,China

出　　处：《World Journal of Clinical Cases》2019年第21期3639-3648,共10页世界临床病例杂志

基　　金：Supported by Fujian Province Medical Innovation Project,No.2016-CXB-13

摘　　要：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.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.

关 键 词：BILATERAL COMMON carotid artery COMMON TRUNK ABERRANT RIGHT subclavianartery RIGHT SUBCLAVIAN steal syndrome Case report 

分 类 号：R73[医药卫生—肿瘤]