A Difficult Case: Perform left carotid endarterectomy without delayBMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6992.1449b (Published 03 June 1995) Cite this as: BMJ 1995;310:1449
- John M Porter, professor of surgerya
- a Division of Vascular Surgery, Oregon Health Sciences University, Portland, Oregon 97201-3098, USA
This patient presents a conundrum. The clinician is faced not only with the issue of propriety of carotid surgery in the face of a probable stroke in evolution but also with the prospect of carotid surgery in a patient who probably has severe associated coronary artery disease.
When encountering a patient with fluctuating neurological symptoms and high grade carotid stenosis my first …