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Interact CardioVasc Thorac Surg 2009;8:496-497. doi:10.1510/icvts.2008.198754
© 2009 European Association of Cardio-Thoracic Surgery

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Case report - Carotid and imaging

Mobile floating carotid plaque post-trauma. Diagnosis and treatment

Emanuele Ferrero*, Andrea Gaggiano, Michelangelo Ferri and Franco Nessi

Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Largo Turati 62, 10128 Turin, Italy

*Corresponding author. Tel.: +39-11-5082605; fax: +39-11-5082606.

E-mail address: emaferrero{at}libero.it (E. Ferrero).

We report the cases of two patients with mobile floating carotid plaques (MFCP). Two men were referred to us for carotid investigation after trauma. The duplex ultrasonography scan (DUS) showed the presence of a mobile floating plaque into the internal carotid artery associated with a stenosis of 40% and 65%, respectively (ECST criteria). Both patients were asymptomatic. Early CEA was performed (<24 h after admission). Intraoperatively it was confirmed the presence of MFCP. The patients were discharged without neurological symptoms two days postoperatively. At the follow-up the DUS showed the patency of the CEA without restenosis or residual flap.

Key Words: Mobile floating carotid plaque; Carotid endoarteriectomy; Duplex scan







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