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Endarterectomy for a symptomatic carotid web
- Source :
- Vascular. 25(5)
- Publication Year :
- 2017
-
Abstract
- Background We report a symptomatic carotid web successfully treated with carotid endarterectomy. A healthy 43-year-old woman presented with acute-onset left-sided weakness. Carotid web was evident on computed tomography angiography as a focal filling defect in the right common carotid artery. This right common carotid artery web extended into the ICA created an eddy resulting in turbulent flow. Subsequent acute embolus formation led to embolization and acute stroke. Method Review of the literature was performed using Medline Plus and PubMed databases. Result The patient underwent carotid endarterectomy with primary closure. Procedure was well tolerated and there was an uneventful recovery. Conclusion Arterial webs are a rare arteriopathy and a usual arrangement of fibromuscular intralumenal in-growth with unclear etiology. It is however, an important potential etiology of stroke in patients without traditional atherosclerotic risk factors. Carotid web and atypical carotid fibromuscular dysplasia should be considered in young, otherwise healthy patients presenting with stroke and without the typical risk factors for atherosclerotic carotid disease and stroke.
- Subjects :
- Adult
Carotid Artery Diseases
medicine.medical_specialty
Carotid Artery, Common
Computed Tomography Angiography
medicine.medical_treatment
Biopsy
Fibromuscular dysplasia
Carotid endarterectomy
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Embolus
Right Common Carotid Artery
Internal medicine
medicine
Humans
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Embolization
Ultrasonography, Doppler, Color
Stroke
Computed tomography angiography
Endarterectomy
Endarterectomy, Carotid
medicine.diagnostic_test
business.industry
Hemodynamics
General Medicine
medicine.disease
Magnetic Resonance Imaging
Treatment Outcome
Regional Blood Flow
Cardiology
Surgery
Female
Radiology
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1708539X
- Volume :
- 25
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Vascular
- Accession number :
- edsair.doi.dedup.....5b262a9f6ac700238268ef8cf80201db