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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2012 April;53(2):241-6

language: English

Late spontaneous recanalization of a symptomatically occluded internal carotid artery two years after extra-intracranial bypass. Case report and review of the literature

Kniemeyer H. W. 1, Voshege M. 1, Soliman A. 1, Abu Al Nasr T. M. 2, Beckmann H. 1, Edelmann M. 3

1 Clinic of Vascular Surgery and Phlebology, Elisabeth-Hospital Essen, Germany;
2 Deptartment of Vascular Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia;
3 Outpatient Department, Augusta Medical Center, Hattingen, Germany


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Spontaneous recanalization of the internal carotid artery (ICA) is rarely observed. Mainly case reports are published. Most often early recanalization occurs within days or weeks and only a few cases of late recanalization months or years after detected occlusion are reported. Symptomatic bilateral ICA occlusion is regarded as an acceptable indication for extra-intracranial (EC-IC) bypass. The authors report on a case with bilateral symptomatic ICA occlusion and EC-IC bypass >2 years prior to detected spontaneous leftsided recanalization. Spontaneous recanalization unmasking a high degree ICA stenosis at the carotid bifurcation allowed a successful subsequent surgical recanalization in this patients. Mechanisms of early and late recanalization as well as treatment options are discussed.

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h.w.kniemeyer@contilia.de