Bilateral Multiple Variations in Carotid Arteries-A Case Report
Sulabha Hanumant Deshpande1, Ashwini Balasaheb Nuchhi1, Balappa Murigeppa Bannur2
1Assistant Professor, Department of Anatomy, BLDEU's Shri B M Patil Medical College, Hospital Research Centre , Vijaypur, Karnataka, India .
Insights
Anatomical variations in common carotid arteries, including bifurcation levels and tortuosity, were observed during cadaver dissection. Understanding these carotid artery variations is crucial for accurate radiological interpretation and safer surgical procedures.
Area of Science:
- Anatomy
- Vascular Anatomy
- Human Anatomy
Background:
- The common carotid arteries are major bilateral vessels supplying the head and neck.
- Variations in their anatomy, such as bifurcation levels and tortuosity, can occur.
- These variations may be asymptomatic or lead to significant clinical issues like ischemia.
Observation:
- Routine dissection of an adult male cadaver revealed bilateral variations in carotid arteries.
- Observed variations included altered bifurcation levels, tortuous external and internal carotid arteries, and variations in the number of external carotid artery branches.
Findings:
- The study identified multiple, bilateral anatomical variations in the common carotid arteries.
- Specific findings included variations in bifurcation levels and the presence of tortuous internal and external carotid arteries.
Implications:
- Knowledge of carotid artery variations is vital for interpreting radiological examinations, particularly percutaneous carotid angiography.
- Understanding these anatomical anomalies is essential for minimizing complications during head and neck surgeries.
Abstract:
The common carotid arteries are the largest bilateral arteries of the head and neck. The common carotid arteries may bifurcate higher or lower than the usual levels. A higher bifurcation is more common. Tortuous arteries if present may be asymptomatic if it is mild but may lead to ischaemia of the organs if severe. The cause could be genetic, or may be thickening of the arteries. During routine dissection of an adult male cadaver in the department of Anatomy, BLDEU's Shri BM Patil Medical college, Vijaypur, we found the bilateral multiple variations in the carotid arteries regarding the bifurcation level of common carotid arteries, tortuous external and internal carotid arteries and the number of branches arising from external carotid arteries. The knowledge of such variations of carotid arteries is of great importance in radiological examinations especially per cutaneous carotid angiography. It is necessary to understand the anatomy of these vessels and its variations to carry out surgeries with minimum complications.
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