Congenital absence of the internal carotid artery and the basilar artery with persistent trigeminal artery associated with coarctation of the aorta

• Published in: European radiology Vol. 10; no. 11; pp. 1805 - 1809
• Main Authors: Jaeger, H J, Mehring, U M, Gissler, H M, Mathias, K D
• Format: Journal Article
• Language: English
• Published: Germany Springer Nature B.V 01-01-2000
• Subjects: Adult; Aortic Coarctation - complications; Arteries - abnormalities; Basilar Artery - abnormalities; Carotid Artery, Internal - abnormalities; Cerebellum - blood supply; Cerebral Angiography; Cerebrovascular Circulation; Collateral Circulation; Female; Humans; Intracranial Arteriovenous Malformations - complications; Intracranial Arteriovenous Malformations - diagnostic imaging; Medical imaging; Veins & arteries
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s003300000500

We report a case of congenital absence of the cervical and petrous part of the left internal carotid artery, the middle and proximal part of the basilar artery, and the V4 segment of the left vertebral artery associated with a left persistent trigeminal artery and a coarctation of the aorta. The left cerebral vessels are supplied via the anterior communicating artery and the left persistent trigeminal artery. The coexisting coarctation of the aorta led to a subclavian steal phenomenon. The alteration of the cerebral hemodynamics has to be taken in consideration when performing cerebral angiography and surgical correction in such a case.