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November 1983

A Case of Tandem Lesions in the Extracranial Internal Carotid Artery

Author Affiliations

From the Department of Surgery, St. Vincent Hospital and Medical Center, Portland, Ore.

Arch Surg. 1983;118(11):1351. doi:10.1001/archsurg.1983.01390110093021

• The tortuous internal carotid artery is occasionally encountered during carotid endarterectomy. While much has been written about the hemodynamic problems associated with the tortuous vessel, a second atherosclerotic plaque in the kinked portion of the artery has not been reported previously, to our knowledge. We encountered such a case, with the second lesion recognized at reexploration following neurologic deficit after a standard carotid endarterectomy. The presence of a solitary lesion at the carotid bifurcation should not be assumed.

(Arch Surg 1983;118:1351)