Unusual positional compression of the internal carotid artery causes carotid thrombosis and cerebral ischemia.
This article reports an unusual case of positional compression of internal carotid artery resulting in carotid thrombosis and stroke in a 37-year-old man. A patient was operated urgently for a free-floating thrombotic mass in the internal carotid artery. Open thrombectomy was performed in acute phase of stroke for prevention of the recapitulative cerebral thromboembolism. Hemiplegia completely disappeared within 7 months.
Department of Cardiovascular Surgery, West Georgian National Centre of Interventional Medicine, Kutaisi, Georgia. gaga_keshelava@yahoo.com
Grigol
G
Keshelava
Merab
M
Nachkepia
Gela
G
Arabidze
Giorgi
G
Janashia
Kakha
K
Beselia
D000328:Adult; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D003251:Constriction, Pathologic / Q000150:complications / Q000175:diagnosis; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D056888:Patient Positioning / Q000009:adverse effects*; D017131:Thrombectomy / Q000379:methods*; D018616:Ultrasonography, Doppler, Duplex