title: Surgical management of a mobile floating carotid plaque.
abstract: A mobile floating carotid plaque (MFCP) is an infrequent pathological lesion with an unknown natural history caused by thinning and rupture of the fibrous cap of the atheromatous plaque; it may result in repeated ischaemic strokes. Duplex carotid ultrasound is a non-invasive technique useful in defining the plaque morphology with high sensitivity and specificity. Due to the lack of evidence, treatment remains controversial. We present a patient with an asymptomatic MFCP diagnosed by ultrasound and treated with carotid endarterectomy without neurological complications due to the procedure and without restenosis nor residual flaps during the follow-up.
authors.affiliation: Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain karla_moncayo@hotmail.com.
authors.forename: Karla Elizabeth
authors.initials: KE
authors.lastname: Moncayo
authors.affiliation: Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
authors.forename: Juan Jose
authors.initials: JJ
authors.lastname: Vidal
authors.affiliation: Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
authors.forename: Raúl
authors.initials: R
authors.lastname: García
authors.affiliation: Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Pereira
mesh_terms: D016893:Carotid Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D058226:Plaque, Atherosclerotic / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex
keywords: Carotid endarterectomy; Duplex ultrasound; Mobile floating carotid plaque