Asim Hamza, El-Nakhal Tamer, Usman Mohammed, Lines Hannah, McMahon Greg S
Medical Education, University of Leicester, Leicester, GBR.
Vascular Surgery, University Hospitals Leicester, Leicester, GBR.
Cureus. 2024 Nov 17;16(11):e73857. doi: 10.7759/cureus.73857. eCollection 2024 Nov.
The carotid web is a rare fibromuscular dysplasia disease of the internal carotid artery wall. It is a cause of thromboembolic stroke in a demographic of patients generally younger than those with atherosclerotic carotid artery disease. It is easy to miss the diagnosis without a high index of suspicion. We present a case of a carotid web in a 36-year-old female who suffered a thromboembolic stroke as a result of an ipsilateral carotid web. This was managed with open surgical resection of the intimal web and bovine patch angioplasty. In addition to highlighting this pathology as a cause of internal carotid artery stenosis, we present a review of the literature and a consensus on management options.
颈动脉纤维肌性发育异常是一种罕见的颈内动脉壁纤维肌性发育异常疾病。在通常比患有动脉粥样硬化性颈动脉疾病的患者更年轻的人群中，它是血栓栓塞性卒中的一个病因。如果没有高度的怀疑指数，很容易漏诊。我们报告一例36岁女性因同侧颈动脉纤维肌性发育异常导致血栓栓塞性卒中的病例。该病例通过开放性手术切除内膜纤维肌性发育异常并进行牛心包补片血管成形术进行治疗。除了强调这种病理情况是颈内动脉狭窄的一个病因外，我们还对文献进行了综述并就治疗方案达成了共识。
