This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by HEYMAN, A. Articles by UTLEY, C. Search for Related Content PubMed PubMed Citation Articles by HEYMAN, A. Articles by UTLEY, C.

(Stroke. 1970;1:173.)
© 1970 American Heart Association, Inc.

---

Recurrent Atherosclerotic Obstruction of the Internal Carotid Artery Five Years After Endarterectomy

ALBERT HEYMAN M.D.¹; IVAN W. BROWN JR. M.D.¹; LINDA CAMPLONG B.A.¹; CAROL UTLEY ¹

¹ Center for Cerebrovascular Research and The Departments of Medicine and Surgery, Duke University Medical Center, Durham, North Carolina

A patient is described in whom an obstructive atherosclerotic plaque recurred in the cervical portion of the internal carotid artery five years after endarterectomy. The lesion appeared to be a new formation of atheromatous material contiguous to the site of the previous arteriotomy and resulted in neurological symptoms almost identical to those experienced by the patient five years before.

This case suggests that the treatment of cerebral ischemia by surgical removal of stenotic lesions in the extracranial cerebral arteries may produce only temporary relief of symptoms and emphasizes the need, following endarterectomy, for medical therapy of the underlying atherosclerotic disease.

Key Words: surgery • transient ischemic attacks • angiography • ophthalmodynamometry • arterial stenosis • cerebral infarction