Page 35 - Virtual Vascular Vol 5
P. 35
Carotid Endarterectomy
A patient presented with sudden onset painless complete monocular loss of
vision of the right eye for a few seconds, followed by complete spontaneous
recovery. This is amaurosis fugax and is due to emboli to the ophthalmic
artery (first branch of the internal carotid artery) from either the carotid
artery or from the heart.
He had normal sinus rhythm with a normal ECG and echocardiogram, and a
carotid duplex showed 70% stenosis of the distal right common carotid artery
extending to the internal carotid artery.
Right carotid endarterectomy was offered as a prophylactic procedure for
further neurological event. The patient was started on anti-platelet therapy in
the form of aspirin.
CEA Duplex.mp4
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