Cartier R, Cartier P, Hudan G, Rousseau M
Department of Cardiovascular Surgery, Montreal Heart Institute.
Can J Surg. 1996 Apr;39(2):159-62.
Persistence of the hypoglossal artery is an unusual congenital abnormality of the carotid arterial system, and the simultaneous occurrence of atheromatous disease in the internal carotid artery and persistent hypoglossal artery is even more uncommon. Carotid surgery in this situation is challenging, and the surgeon must be aware of potential inherent pitfalls. A 74-year-old woman with asymptomatic stenosis of both internal carotid and hypoglossal arteries associated with occlusion of the contralateral internal carotid artery underwent successful revascularization. The anatomy of this unusual lesion and the surgical strategies, which included cranial nerve dissection and mandibular subluxation, are reviewed.
舌下动脉持续存在是一种罕见的颈动脉系统先天性异常，而颈内动脉粥样硬化疾病与舌下动脉持续存在同时出现则更为罕见。在这种情况下进行颈动脉手术具有挑战性，外科医生必须意识到潜在的固有陷阱。一名74岁女性，双侧颈内动脉和舌下动脉无症状性狭窄，对侧颈内动脉闭塞，成功接受了血管重建术。本文回顾了这种罕见病变的解剖结构及手术策略，其中包括颅神经解剖和下颌半脱位。
