Embolic stroke after carotid artery ligation during carotid body tumor resection. (February 2013)

• Record Type: Journal Article
• Authors: Kim, Hyangkyoung; Cho, Yong-Pil; Moon, Ki-Myung; Kwon, Tae-Won
• Is Part Of: Vascular. Volume 21:Number 1(2013)
• Page Start: 23
• Page End: 26
• Publication Date: 2013-02
• Subjects: carotid artery -- internal -- ligation -- thromboembolism; 616.13
• DOI: 10.1258/vasc.2011.cr0274
• Languages: English
• ISSNs: 1708-5381

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.