ABSTRACT
This is a right CEA in which a separate ECA endarterectomy and repair were performed. The Y-shaped suture line of 6-0 Prolene can be seen; note the convergence of the external and internal carotid repairs at the region of the carotid bulb. When blood flow is reestablished, it is common for the ICA repair to rotate with the reopening of the vessel. In this case, the ICA suture line was straight up the midportion of the vessel when the arteriotomy was performed. Later, the repair rotated because dissection of the lateral attachments of the carotid bed is always more extensive than that medial to the carotid bifurcation.
