Clinical Notes
January 1972

Minor Cerebral Ischemia From Major Brachiocephalic Occlusion

Author Affiliations

Nashville, Tenn
From the Surgical Services, St. Thomas Hospital, and the Edwards-Eve Clinic Association, Nashville, Tenn.

Arch Surg. 1972;104(1):99-101. doi:10.1001/archsurg.1972.04180010093024

Complete, bilateral common carotid and left vertebral occlusion without major neurological or mental deficit occurred in a 62-year-old man. Patency of both internal carotid arteries was subsequently demonstrated by arteriography and at surgery. Bilateral subclavian to internal carotid artery bypasses were performed utilizing 8-mm Dacron grafts. The patient is now relieved of all symptoms and both grafts are patent at five months follow-up.