Carotid-carotid bypass grafting is a procedure only rarely performed. However, in selected cases it may provide an excellent treatment alternative. The authors report on two patients who were treated by carotid-carotid bypass. The first patient had recurrent cerebral emboli from a chronic aortic dissection extending into the right innominate, common carotid, and internal carotid artery. The second patient was symptomatic from a recurrent high-grade internal carotid artery stenosis and an ulcerated plaque in the right common carotid artery following radical neck dissection and radiotherapy. The indications for this procedure are described and the related literature is reviewed.
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References
1.
1. Kieffer E, Sabatier J. Koskas F. et al: Atherosclerotic innominate artery occlusive disease: Early and longterm results of surgical reconstruction. J Vasc Surg21:326-336, 1995.
2.
2. Fry WR, Martin JD, Clagett P, et al: Extrathoracic carotid reconstruction: The subclavian-carotid artery bypass. J Vasc Surg15:83-89, 1992.
3.
3. Wylie EJ, Effeney DJ: Surgery of the aortic arch branches and vertebral arteries. Surg Clin North Am59:669-680, 1979.
4.
4. Salam TA, Smith RB, Lumsden AB: Extrathoracic bypass procedures for proximal common carotid artery lesions. Am J Surg166:163-167, 1993.
5.
5. Moore WS, Malone JM, Goldstone J: Extrathoracic repair of branch occlusions of the aortic arch. Am J Surg132:249-257, 1976.
