Although carotid artery redundancies such as kinks or coils are uncommon, they typically are asymptomatic when discovered. The authors report a unique case of proximal common carotid artery coil that caused esophageal compression resulting in symptomatic dysphagia. Following a carotid-shortening procedure in which the redundant artery was resected, the patient's dysphagic symptom resolved completely. This patient under scores the role of surgical resection of a carotid redundancy when it is associated with compressive symptoms.
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