ABSTRACT
These cases illustrate the importance of relying on both the clinical history and the angiographic information in deciding which patients are appropriate surgical candidates. In this particular case, AP (A) and lateral (B) radiographs of the left CCA demonstrated a mildly stenotic lesion but with a rather punctate focal ulcer up in the ICA. The bifurcation was low, and the repair appeared to be quite simple. The patient had classic symptoms of transient ischemic attacks (TIAs) stereotypic to the appropriate artery. Shown below is a photograph of the operative specimen in the ICA, which demonstrates the pathologic correlation of a deep focal ulcer with intramural thrombus and corresponds nicely with the radiographic finding.
