Embolic stroke after carotid artery ligation during carotid body tumor resection.

Abstract

This report describes a case of a delayed cerebral embolic infarction, after internal carotid artery (ICA) ligation secondary to carotid body tumor resection. We describe a 34-year-old woman who underwent left ICA ligation during a large carotid body tumor surgery. Immediately after surgery, the patient was neurologically asymptomatic; however, she subsequently developed a cerebral embolic infarction nine hours postoperatively. After beginning antiplatelet therapy, all symptoms ultimately resolved, although over a gradual course. Since the ligation of the ICA can cause thromboembolic infarctions of the cerebrum, we contend that antiplatelet agents be administered to prevent and/or treat embolic strokes.

• Authors: Hyangkyoung Kim, Yong-Pil Cho, Ki-Myung Moon, Tae-Won Kwon
• Journal: Vascular (Vascular) Vol. 21 Issue 1 Pg. 23-6 (Feb 2013) ISSN: 1708-5381 [Print] England
• PMID: 22101857 (Publication Type: Case Reports, Journal Article)

Chemical References

• Platelet Aggregation Inhibitors

Topics

• Adult
• Carotid Artery, Internal (physiopathology, surgery)
• Carotid Body Tumor (diagnosis, surgery)
• Cerebral Angiography
• Cerebrovascular Circulation
• Embolism (diagnosis, drug therapy, etiology, physiopathology)
• Female
• Humans
• Ligation
• Magnetic Resonance Angiography
• Platelet Aggregation Inhibitors (administration & dosage)
• Stroke (diagnosis, drug therapy, etiology, physiopathology)
• Time Factors
• Tomography, Emission-Computed, Single-Photon
• Treatment Outcome
• Vascular Surgical Procedures (adverse effects)