Document Detail

Bypass surgery for occluded internal carotid artery revascularized by vasa vasorum--case report.
MedLine Citation:
PMID:  11944590     Owner:  NLM     Status:  MEDLINE    
A 47-year-old woman presented with two transient ischemic attacks due to occlusion of the left internal carotid artery. The affected artery was revascularized by vasa vasorum. Angiography showed occlusion of the left common carotid artery including the origin of the internal carotid artery. The distal internal carotid artery was revascularized by vasa vasorum at the level of the second cervical vertebral body. Left subclavian artery-internal carotid artery bypass surgery using a saphenous vein graft was performed successfully, during which the narrowed but patent lumen of the internal carotid artery was confirmed. Follow-up angiography showed enlargement of the left internal carotid artery distal to the patent bypass. Reconstructive bypass surgery is a possible treatment for patients with occluded internal carotid artery revascularized by vasa vasorum. Angiographic detection of the lumen of the internal carotid artery is important for surgical consideration.
Hiroaki Shimizu; Teiji Tominaga; Masayuki Ezura; Takashi Yoshimoto
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  42     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-04-11     Completed Date:  2002-05-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  57-61     Citation Subset:  IM    
Department of Neurosurgery, Kohnan Hospital, Sendai.
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MeSH Terms
Carotid Artery, Internal / pathology,  surgery
Carotid Stenosis / diagnosis,  surgery*
Cerebral Revascularization / methods*
Diagnostic Imaging
Ischemic Attack, Transient / diagnosis,  surgery
Middle Aged
Vasa Vasorum / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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