Pearlman Ronald C, Naficy Mohammad A, Koby Myles B, Nyanzu Martin
School of Communication, Howard University, Washington, DC, USA.
Vasc Endovascular Surg. 2012 Nov;46(8):686-7. doi: 10.1177/1538574412460101. Epub 2012 Sep 17.
An 83-year-old male presented with bilateral carotid stenosis. Stenosis on the left side was reported to be greater than 70%. A left carotid endarterectomy was undertaken to increase the lumen size and remove the atherosclerotic plaque. During surgery, the hyoid bone was observed to have a 2-cm calcified horn capable of compressing the carotid artery. This unusual compression was confirmed by radiographic images. In cases where the carotid artery is compressed by the hyoid bone, a carotid endarterectomy rather than a stent may be the procedure of choice.
一名83岁男性因双侧颈动脉狭窄就诊。据报告左侧狭窄程度大于70%。行左侧颈动脉内膜切除术以扩大管腔并清除动脉粥样硬化斑块。手术过程中，发现舌骨有一个2厘米的钙化角，可压迫颈动脉。影像学检查证实了这种异常压迫。在颈动脉被舌骨压迫的病例中，颈动脉内膜切除术而非支架置入术可能是首选治疗方法。
