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Vascular and Endovascular Surgery
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Chronic Carotid Dissection Producing New Neurologic Symptoms: An Alternative Method of Autogenous Reconstruction

A Case Report

C. M. Wittgen, MD

Department of Surgery, St. Louis University Hospital, St. Louis Missouri; St. Paul, Minnesota

E. Kasperson, MD

Department of Surgery, Regions Hospital, St. Paul, Minnesota; St. Louis Missouri

A case of chronic carotid dissection associated with new neurologic symptoms was treated with occipital artery to internal carotid artery bypass. After surgery, the patient remained without neurologic symptoms with a widely patent anastomosis. This novel reconstruction has not previously been reported and provides a suitable alternative for patients with inadequate greater saphenous vein. The mechanism causing this injury and management algorithms are discussed with a review of the literature.

Vascular and Endovascular Surgery, Vol. 33, No. 5, 519-524 (1999)
DOI: 10.1177/153857449903300511
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