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Vascular and Endovascular Surgery
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Carotid Endarterectomy in a Patient With Ankylosing Spondylitis—A Case Report

Michael S. Dahn

Section of Vascular Surgery, Department of Surgery, Wayne State University, Detroit, Michigan, Department of Oral and Maxillofacial Surgery, Veterans Administration Medical Center, and Wayne State University, Detroit, Michigan

Richard A. Plezia

Section of Vascular Surgery, Department of Surgery, Wayne State University, Detroit, Michigan, Department of Oral and Maxillofacial Surgery, Veterans Administration Medical Center, and Wayne State University, Detroit, Michigan

Larry Diebel

Section of Vascular Surgery, Department of Surgery, Wayne State University, Detroit, Michigan, Department of Oral and Maxillofacial Surgery, Veterans Administration Medical Center, and Wayne State University, Detroit, Michigan

Lloyd A. Jacobs

Section of Vascular Surgery, Department of Surgery, Wayne State University, Detroit, Michigan, Department of Oral and Maxillofacial Surgery, Veterans Administration Medical Center, and Wayne State University, Detroit, Michigan

Access to the cervical internal carotid artery may occasionally be limited by the mandible. Management of symptomatic carotid occlusive disease in a pa tient suffering from ankylosing spondylitis is described in which the carotid bifurcation is obscured by the vertical mandibular ramus. The application of technique usually reserved for high internal carotid artery lesions to this situa tion is discussed. In the case reported here, the preferred approach of mandibu lar subluxation allowed successful carotid endarterectomy.

Vascular and Endovascular Surgery, Vol. 23, No. 3, 240-244 (1989)
DOI: 10.1177/153857448902300314
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