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Journal of Korean Neurosurgical Society > Volume 22(4); 1993 > Article
Journal of Korean Neurosurgical Society 1993;22(4): 562-570.
Carotid Endarterectomy in Bilateral Carotid Stenosis: Case Report.
Ji Young Lee, Sang Hyung Lee, Dae Hee Han
Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
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.
Key Words: Carotid artery; TIA; Carotid stenosis; Carotid endarterectomy
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