Bovine arch and kissing carotid arteries

Case contributed by Doaa Faris Jabaz
Diagnosis certain


An incidental finding during a 4D parathyroid CT.

Patient Data

Age: 50 years
Gender: Female

The brachiocephalic trunk and left common carotid artery arose from a common trunk before bifurcation. Additionally, an aberrant bilateral internal carotid artery retropharyngeal course where come nearby at the midline with the smallest inter-carotid distance of <7 mm.

Case Discussion

Incidental finding of the so-called type 2 “bovine arch” and kissing carotid arteries .

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