Elsevier

Annals of Vascular Surgery

Volume 1, Issue 5, December 1987, Pages 595-597
Annals of Vascular Surgery

The Carotid Web: a Developmental Anomaly of the Brachiocephalic System

https://doi.org/10.1016/S0890-5096(06)61448-9Get rights and content

A case of a congenital carotid web is reported. This lesion is believed to be a very rare anomaly of carotid development. The embryologic development of the brachiocephalic arteries is discussed. Anomalies of the brachiocephalic arteries including anomalies of origin from the aortic arch, atresia, and persistent communications between the carotid and vertebral system are reviewed.

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Cited by (21)

  • Carotid webs associated with ischemic stroke. Updated general review and research directions

    2021, Revue Neurologique
    Citation Excerpt :

    However, their supporting case report showed a de novo lesion which location, distal to the bulb, was inconsistent with a CaW. The dysplastic nature of the lesion, its specific location and ethnicity variations rather support the hypothesis of developmental origin of CaW [9,62]. Whether the lesion changes over time is currently unknown.

  • Arterial Dissection, Fibromuscular Dysplasia, and Carotid Webs

    2021, Stroke: Pathophysiology, Diagnosis, and Management
  • Carotid Webs in Pediatric Acute Ischemic Stroke

    2020, Journal of Stroke and Cerebrovascular Diseases
    Citation Excerpt :

    Some possible hypotheses could include a genetic predisposition (supported by the high prevalence among African-Americans),610 hormonal factors, given the preponderance of female patients with CaW,10 vasa vasorum abnormalities, such as ischemic blood supply to the vascular wall, or chronic vascular injury.8 One study reported a CaW (with pathologic evidence of intimal dysplasia) in a middle-aged male that was presumed to represent a congenital defect, and suggested that the web was a remnant of the aortic arch system from which the carotid developed.11 There are, however, no reports of carotid webs known to be present in the neonatal period, or in the pediatric population as a whole, whether in infancy, childhood, or adolescence.

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Reprint requests: M.F. McNamara, MD, Section of Vascular Surgery, Department of Surgery, Harper Hospital, 3990 John R., Detroit, Michigan 48201.

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