Endarterectomy for a symptomatic carotid web

John Phair, Eric B. Trestman, Chetra Yean, Evan C. Lipsitz

Research output: Contribution to journalArticle

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)553-556
Number of pages4
JournalVascular
Volume25
Issue number5
DOIs
StatePublished - Oct 1 2017

Keywords

  • Arterial web
  • carotid
  • endarterectomy
  • fibromuscular dysplagia
  • mixoid degeneration
  • stoke

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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