Delayed postoperative nonembolic neurologic deficit after left internal carotid endarterectomy in presence of known contralateral carotid artery occlusion.
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.
Minnich
K
K
Department of Anesthesia, The Pennsylvania State University School of Medicine, The Milton S. Hershey Medical Center, Hershey, Pennsylvania 17033, USA.
Rodichok
L D
LD
Marshall
W K
WK
Thiele
B L
BL
North
M
M