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Bilateral retroesophageal course of the carotid arteries

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1 Bilateral retroesophageal course of the carotid arteries
Dimitrios Virvilis, MD, George Koullias, MD, Nicos Labropoulos, PhD, DIC, RVT  Journal of Vascular Surgery  Volume 57, Issue 5, Pages (May 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Color Doppler ultrasound imaging of the neck vessels. A, Both common carotid arteries (CCAs) are seen behind the esophagus, which is obscured by the acoustic shadow of the trachea. B, The right common carotid artery (RCCA) is far from the right internal jugular vein (RIJV). LCCA, Left common carotid artery; LT, left; RVA, right vertebral artery; TR, trachea; VA, vertebral artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Magnetic resonance angiograms of the neck vessels. A, Retroesophageal course of both common carotid arteries (CCAs), which are medial to the vertebral arteries. The right internal jugular vein (RIJV) is not filled with contrast yet (delayed filling), as the entire right carotid system is hypoplastic. The patency of this vessel is evident in (B). B, The right common carotid artery (RCCA) and internal carotid artery are hypoplastic and the left vertebral artery (LVA) is dominant. ES, Esophagus; LCCA, left common carotid artery; LIJV, left internal jugular vein; RVA, right vertebral artery; TR, trachea. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

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