ABSTRACT
These AP (A) and lateral (B) views demonstrate a significant lesion at the carotid bulb and a distal aneurysm of the ICA far beyond the usual reach and exposure of carotid endarterectomy. Since this patient was clinically symptomatic and 72 years of age and because this was her dominant hemisphere, I performed a routine carotid endarterectomy and left the aneurysm untreated. In eight years of follow-up, it has caused no further problems.
