Novel carotid surgery in an asymptomatic totally occluded common carotid artery

Shirazi, M. H., Tennant, W. G. and Insall, R. (2011) Novel carotid surgery in an asymptomatic totally occluded common carotid artery. Journal of the Pakistan Medical Association, 61(2), pp. 187-189. (PMID:21375176)

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We report the case of a 67 year old English woman with bilateral transient cerebral ischaemic attacks who was managed by unconventional surgery. Duplex ultrasound of the carotid bifurcations indicated complete occlusion of the left common carotid artery with retrograde flow from external to internal carotid artery and an ulcerated plaque at the external carotid artery origin. Following ligation of the external carotid artery origin to exclude the ulcerated plaque, the proximal external carotid artery was re-anastomosed to the internal carotid artery, preserving cephalad flow in the internal carotid artery. This case report provides additional insight into the cause of transient ischaemic attacks and offers an innovative surgical solution which preserves blood flow to the brain. It also emphasises the need for an open minded and innovative approach to vascular surgery.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Insall, Professor Robert
Authors: Shirazi, M. H., Tennant, W. G., and Insall, R.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cancer Sciences
Journal Name:Journal of the Pakistan Medical Association
Publisher:Pakistan Medical Association
ISSN (Online):0030-9982
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