title: Carotid Endarterectomy in Moyamoya Disease: A Case Report.
abstract: We report the case of a 55-year-old female who presented with symptomatic high-grade stenosis of the right internal carotid artery, years after her diagnosis of moyamoya disease (MMD), which had been treated with extensive carotid and cerebral vascular reconstructions. A percutaneous carotid revascularization was unsuccessful, and a carotid endarterectomy with bovine patch angioplasty was subsequently performed. The presence of symptomatic atherosclerotic carotid disease in combination with MMD, with all the perioperative challenges, has not been previously described.
authors.affiliation: Department of Vascular Surgery, Stony Brook University Hospital, Stony Brook, NY. Electronic address: Gspentzouris@gmail.com.
authors.forename: Georgios
authors.initials: G
authors.lastname: Spentzouris
authors.affiliation: Department of Vascular Surgery, Stony Brook University Hospital, Stony Brook, NY.
authors.forename: Zachary
authors.initials: Z
authors.lastname: Mulvihill
authors.affiliation: Department of Vascular Surgery, Winthrop University Hospital, Mineola, NY.
authors.forename: George
authors.initials: G
authors.lastname: Hines
mesh_terms: D017130:Angioplasty; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D009072:Moyamoya Disease / Q000150:complications* / Q000000981:diagnostic imaging; D012720:Severity of Illness Index; D016896:Treatment Outcome