Moreno-Vargas HC, Olivares-Cruz S, Lecuona-Huet NE, Martínez-Martínez J, Farro-Moreno A, Ziga-Martínez A

Language: Spanish
References: 10
Page: 24-28
PDF size: 168.55 Kb.

ABSTRACT

The association between the kinking of the carotid artery and cerebrovascular insufficiency was observed for the first time in 1951. The kinking of the carotid artery can lead to a symptomatic cerebrovascular disease, there is no indisputable evidence linking the two conditions. However, there is sufficient evidence to justify surgical correction in patients who have features of carotid artery syndrome and elbowing of the common carotid artery and this is verified by angiography. The kinking of the carotid artery is related to cerebral ischemic episodes of hemodynamic or embolic origin. The case of a patient who underwent surgical correction of carotid kinking of the common and internal carotid arteries will be presented. The definitive criteria for surgical corrections do not yet exist and await further studies, the fundamental indication of surgical treatment to repair angulations and loops of the carotid artery, without coexistence with arteriosclerotic lesions, is the presence of neurological symptoms. The patient had neurological symptoms so the surgical repair was decided with good results, decreasing the symptoms such as dysphagia and vertigo, thus improving their quality of life. It is indicated the resection of the carotid pain in those symptomatic patients as was the case of our patient.

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