Simultaneous ipsilateral ring-stripping retrograde common carotid endarterectomy and standard carotid bifurcation endarterectomy

Abstract

We presented a case of a 71-year-old male patient admitted to the Department of Surgery because of bilateral stenoses of internal carotid arteries with simultaneous occlusion of left common carotid artery. The angiography of aortic arch branches was performed and demonstrated retrograde inflow of contrast medium into the patent distal part of common carotid and carotid bifurcation. During the operation after an arteriotomy of common carotid artery and evaluation of common carotid plaque the retrograde ring-stripping common carotid endarterectomy was performed with simultaneous standard endarterectomy of internal carotid artery and carotid bulb. No postoperative complications were observed.