Skip to main content
Top
Published in: Child's Nervous System 12/2018

01-12-2018 | Case Report

Isolation of right internal carotid artery, persistent proatlantal 1 artery and rete mirabile in a child with 22q11 deletion syndrome

Authors: Flavio Requejo, Florencia Romina Strawich, Diana Mariela Mouratian, Timo Krings

Published in: Child's Nervous System | Issue 12/2018

Login to get access

Abstract

We report a case of a 2-year-old girl with 22q11 deletion syndrome who underwent studies for cardiac murmur. Ultrasound, computed tomography angiography and digital subtraction angiography revealed an aberrant right subclavian artery and an isolated right internal carotid artery (ICA) originating from the right pulmonary artery. A right carotid rete mirabile (CRM) and a proatlantal (Pa) type 1 artery were also found. We hypothesize that Pa type 1 persistence and CRM development are secondary to the reversal of flow of the isolated ICA.
Literature
1.
go back to reference Basset Anne S et al (2011) Practical guidelines for managing patients with 22q11.2 deletion syndrome. J Pediatr 159(2):332–339.e1CrossRef Basset Anne S et al (2011) Practical guidelines for managing patients with 22q11.2 deletion syndrome. J Pediatr 159(2):332–339.e1CrossRef
4.
go back to reference Hurley MC, Nguyen PH, DiPatri AJ, Shaibani A (2008) Isolated origin of the left internal carotid artery from the pulmonary artery. J Neurosurg Pediatrics 2:207–211CrossRef Hurley MC, Nguyen PH, DiPatri AJ, Shaibani A (2008) Isolated origin of the left internal carotid artery from the pulmonary artery. J Neurosurg Pediatrics 2:207–211CrossRef
5.
go back to reference Huang SF, Wu MH (1996) Left common carotid artery arising from the pulmonary artery in a patient with DiGeorge syndrome. Heart 76(1):82–83CrossRef Huang SF, Wu MH (1996) Left common carotid artery arising from the pulmonary artery in a patient with DiGeorge syndrome. Heart 76(1):82–83CrossRef
6.
go back to reference Fong LV, Venables AW (1987) Isolation of the left common carotid or left innominate artery. Br Heart J 57:552–554CrossRef Fong LV, Venables AW (1987) Isolation of the left common carotid or left innominate artery. Br Heart J 57:552–554CrossRef
7.
go back to reference Idhrees AM et al (2015) A shunt from the brain: left internal carotid artery arising from the left pulmonary artery in tetralogy of Fallot. Ann Thorac Surg 99(2):e47–e49CrossRef Idhrees AM et al (2015) A shunt from the brain: left internal carotid artery arising from the left pulmonary artery in tetralogy of Fallot. Ann Thorac Surg 99(2):e47–e49CrossRef
9.
go back to reference Kaushik N, Saba Z, Rosenfeld H et al (2005) An isolated left common carotid artery from the main pulmonary artery: possible malseptation of the truncoaortic sac. Pediatr Cardiol 26(5):707–709CrossRef Kaushik N, Saba Z, Rosenfeld H et al (2005) An isolated left common carotid artery from the main pulmonary artery: possible malseptation of the truncoaortic sac. Pediatr Cardiol 26(5):707–709CrossRef
11.
go back to reference Lie TA (1968) Congenital anomalies of the carotid arteries: including the carotid-basilar and carotid-vertebral anastomosis. An angiographic study and a review of the literature. Excerpta Med, Amsterdam Lie TA (1968) Congenital anomalies of the carotid arteries: including the carotid-basilar and carotid-vertebral anastomosis. An angiographic study and a review of the literature. Excerpta Med, Amsterdam
12.
go back to reference Herwadkar A (2006) A case of carotid rete mirabile associated with basilar tip aneurysm. Interv Neuroradiol 12:161–164CrossRef Herwadkar A (2006) A case of carotid rete mirabile associated with basilar tip aneurysm. Interv Neuroradiol 12:161–164CrossRef
13.
go back to reference Lin E, Linfante I, Dabus G (2013) Unilateral rete mirabile as a result of segmental agenesis of the ascending petrous segment of the internal carotid artery: embryology, differential diagnosis and clinical implications. Interv Neuroradiol 19:73–77CrossRef Lin E, Linfante I, Dabus G (2013) Unilateral rete mirabile as a result of segmental agenesis of the ascending petrous segment of the internal carotid artery: embryology, differential diagnosis and clinical implications. Interv Neuroradiol 19:73–77CrossRef
19.
go back to reference Horowitz M, Bansal S, Dastur K (2003) Aortic arch origin of the left external carotid artery and type II proatlantal fetal anastomosis. AJNR 24(3):323–325PubMed Horowitz M, Bansal S, Dastur K (2003) Aortic arch origin of the left external carotid artery and type II proatlantal fetal anastomosis. AJNR 24(3):323–325PubMed
20.
go back to reference Krings T, Geiprasert S, Cruz JP, terBrugge K (2015) Neurovascular anatomy in interventional neuroradiology. A case based approach. Thieme, New York Krings T, Geiprasert S, Cruz JP, terBrugge K (2015) Neurovascular anatomy in interventional neuroradiology. A case based approach. Thieme, New York
21.
go back to reference Bahsi YZ, Uysal H, Peker S, Yurdakul M (1993) Persistent primitive proatlantal intersegmental artery (proatlantal artery 1) results in “top of the basilar” syndrome. Stroke 24:2114–2117CrossRef Bahsi YZ, Uysal H, Peker S, Yurdakul M (1993) Persistent primitive proatlantal intersegmental artery (proatlantal artery 1) results in “top of the basilar” syndrome. Stroke 24:2114–2117CrossRef
22.
go back to reference Anderson RA, Sondheimer FK (1993) Rare carotid-vertebrobasilar anastomoses with notes on differentiation between proatlantal and hypoglossal arteries. Neuroradiology 117:232–238 Anderson RA, Sondheimer FK (1993) Rare carotid-vertebrobasilar anastomoses with notes on differentiation between proatlantal and hypoglossal arteries. Neuroradiology 117:232–238
24.
go back to reference Männer J, Seidl W, Steding G (1997) The formal pathogenesis of isolated common carotid or innominate arteries: the concept of malseptation of the aortic sac. Anat Embryol (Berl) 196:435–445CrossRef Männer J, Seidl W, Steding G (1997) The formal pathogenesis of isolated common carotid or innominate arteries: the concept of malseptation of the aortic sac. Anat Embryol (Berl) 196:435–445CrossRef
Metadata
Title
Isolation of right internal carotid artery, persistent proatlantal 1 artery and rete mirabile in a child with 22q11 deletion syndrome
Authors
Flavio Requejo
Florencia Romina Strawich
Diana Mariela Mouratian
Timo Krings
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 12/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-018-3910-y

Other articles of this Issue 12/2018

Child's Nervous System 12/2018 Go to the issue