RESUMO
Carotid artery dissection (CAD) is a condition that compromises blood flow and leads to serious complications such as a stroke or cerebrovascular accident (CVA). This case report demonstrates an unusual case of right internal carotid artery dissection, stenosis of >70%, and an intraluminal thrombus. The patient presented to the emergency department with complaints of right-sided neck pain and severe headache status-post a complicated pregnancy. A computed tomography (CT) angiogram of the right carotid was conducted and showed a right internal carotid artery dissection with 70% luminal stenosis and thrombosis. Carotid endarterectomy (CEA), transfemoral carotid angioplasty with stenting (CAS), or transcarotid artery revascularization (TCAR) were all surgical intervention options that were explored. Risks and benefits were compared between the three surgical intervention options, and transcarotid artery revascularization was deemed the best surgical option in this patient's case.
RESUMO
Peripheral vascular disease is commonly thought to be a disease of elderly patients. However, with certain environmental factors and predetermined genetics, it can present much earlier in life. This case report demonstrates a case of severe peripheral vascular disease in a 30-year-old woman with an 11-year history of smoking. We report the case of a 30-year-old woman who presented to our clinic with a 9-year history of peripheral vascular disease. She complained of worsening claudication in both lower extremities and intermittent pain at rest. A CT arteriogram was conducted and showed significant stenosis of both left and right iliac arteries, as well as stenosis of the distal aorta. In the setting of certain genetic and environmental factors, the presentation of peripheral vascular disease can occur significantly earlier in life.