ABSTRACT
Approximately 6 hours postoperatively, the patient developed a paresis of the left hand. Arteriography demonstrated a patent carotid tree but evidence of clot formation along the suture line (B). I elected to manage this patient with fulll heparinization, and within 72 hours his hand function had essentially returned to normal. I switched him from heparin to warfarin while in hospital and maintained him on anticoagulation for three months, after which time I brought him back for a follow-up arteriogram (C), which showed resolution of the clot and a technically satisfactory, nonstenotic arterial repair. The patient has remained neurologically intact since that time. Please note that this case pre-dates my use of the universal Hemashield® roof patch graft.
