Case report
Carotid and vertebral artery disease
Thalamic stroke in a patient with aberrant right vertebral artery arising from an atherosclerotic carotid bulb

https://doi.org/10.1016/j.jvscit.2021.01.001Get rights and content
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Abstract

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.

Keywords

Vertebral artery
Anomalous
Stroke
Carotid stenosis
Carotid trifurcation

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Author conflict of interest: none.

The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.

© 2021 The Author(s). Published by Elsevier Inc. on behalf of Society for Vascular Surgery.