Management of symptomatic bilateral internal carotid artery occlusion and vertebral artery stenosis

This report presents a patient with bilateral internal carotid occlusion and concomitant vertebral artery stenosis. His lateralized amaurosis fugax, syncopy and partial visual field defect resolved following open external carotid endarterectomy, onlay patch external carotid angioplasty with endarterectomized internal carotid artery and vertebral artery transposition to the common carotid artery.