Carotid Endarterectomy in the Face of a Persistent Hypoglossal Artery

Ann Vasc Surg. 2015 Nov;29(8):1660.e1-4. doi: 10.1016/j.avsg.2015.05.032. Epub 2015 Aug 22.

Abstract

A 68-year-old woman presented with signs and symptoms suggestive of a cerebrovascular accident. Her work-up revealed left internal carotid artery stenosis consistent with her presentation of a left middle cerebral artery distribution stroke. Imaging also incidentally revealed a persistent hypoglossal artery. She underwent carotid endarterectomy. Our intraoperative strategy for management of this persistent fetal anomaly is reviewed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carotid Stenosis / complications*
  • Carotid Stenosis / diagnosis
  • Carotid Stenosis / surgery*
  • Endarterectomy, Carotid*
  • Female
  • Humans
  • Stroke / etiology*
  • Vascular Malformations / complications*
  • Vascular Malformations / diagnosis