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Case Reports in Surgery
Volume 2017, Article ID 4239829, 4 pages
Case Report

Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch

1Vascular Surgery Unit, Santa Croce and Carle Hospital, Via Michele Coppino 26, 12100 Cuneo, Italy
2Department of Radiology, Santa Croce and Carle Hospital, Via Michele Coppino 26, 12100 Cuneo, Italy

Correspondence should be addressed to Alessandro Robaldo; moc.liamg@ordnassela.odlabor

Received 1 January 2017; Accepted 2 April 2017; Published 11 April 2017

Academic Editor: Michael Gorlitzer

Copyright © 2017 Alessandro Robaldo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters.