Cardiovascular Surgery and Interventions 2014, Vol 1, Num 2 Page(s): 056-058
Urgent carotid endarterectomy in carotid artery stenosis with a pedunculated thrombus: a case report

Muhammet Akyüz, Onur Işık, Mehmet Fatih Ayık, Yüksel Atay

Department of Cardiovascular Surgery, Medical Faculty of Ege University, İzmir, Turkey

Keywords: Carotid endarterectomy; endarterectomy; pedunculated thrombus
Intraluminal thrombus in the context of carotid artery stenosis is rarely encountered. The prevention of major disabling stroke is one of the foremost goals of the urgent treatment of carotid lesions with an intraluminal thrombus. Urgent carotid endarterectomy following non-disabling stroke or crescendo transient ischemic attacks is a safe and feasible procedure with favorable outcomes. Endovascular therapy may not be suitable in selected cases. Carotid artery stenosis with a pedunculated thrombus, as in the present case, has a higher risk of embolization than other intraluminal thrombi. Herein, we describe a case with recurrent episodes of amaurosis fugax, who underwent urgent carotid surgery due to a pedunculated thrombus.

DOI : 10.5606/e-cvsi.2014.203