title: Delayed postoperative nonembolic neurologic deficit after left internal carotid endarterectomy in presence of known contralateral carotid artery occlusion.
abstract: Neurologic sequelae are known complications of carotid endarterectomy. The current overall perioperative stroke rate is 2-5% (1,2). The incidence of perioperative morbidity and mortality is increased in certain patient subgroups, including neurologically unstable patients and patients who have known contralateral common or internal carotid artery occlusion (3-9). We present the case of a patient who had known total right carotid artery occlusion and a known previous right cerebrovascular accident who sustained a contralateral deficit after a left internal carotid thromboendarterectomy with vein patch angioplasty.
authors.affiliation: Department of Anesthesia, The Pennsylvania State University School of Medicine, The Milton S. Hershey Medical Center, Hershey, Pennsylvania 17033, USA.
authors.forename: K
authors.initials: K
authors.lastname: Minnich
authors.forename: L D
authors.initials: LD
authors.lastname: Rodichok
authors.forename: W K
authors.initials: WK
authors.lastname: Marshall
authors.forename: B L
authors.initials: BL
authors.lastname: Thiele
authors.forename: M
authors.initials: M
authors.lastname: North