J Korean Neurosurg Soc.  1993 Apr;22(4):562-570.

Carotid Endarterectomy in Bilateral Carotid Stenosis: Case Report

• Lee JY
• Lee SH
• Han DH

Abstract

The authors experienced bilateral carotid endarterectomy in one patient. The patient was 69-year-old woman who had several transient ischemic attacks(TIA's) and anterior chest pain. She had been suffered from hypertension and hyperlipidemia since five years age. Preoperative caroid angiogram showed severe narrowing(90 percent) of the left proximal internal carotid artery. Under the intraoperative monitoring of electroencephalograms, we performed left carotid endarterectomy first due to the left hemispheric TIA's. Six months later, right carotid endarterectomy was done because the degree of right carotid stenosis increased from 70 percent to 90 percent and new infarcts on right periventricular and subcortical white matters developed. She had coronary artery disease, so coronary artery bypass graft was performed. The patient recovered without postoperative morbidity. We reviewed about the indications and surgical techniques of carotid endarterectomy.

Keyword

Carotid artery; TIA; Carotid stenosis; Carotid endarterectomy

MeSH Terms

Aged
Carotid Arteries
Carotid Artery, Internal
Carotid Stenosis*
Chest Pain
Coronary Artery Bypass
Coronary Artery Disease
Electroencephalography
Endarterectomy, Carotid*
Female
Humans
Hyperlipidemias
Hypertension
Monitoring, Intraoperative
Transplants