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Carotid artery disease development after traumatic injury inflicted by a Ram's Horn

I Haberal1, M Kaplan, Y Zorman

  • 1Maltepe University School of Medicine, Maltepe, Turkey. doktorhaberal@hotmail.com

The Heart Surgery Forum
|September 11, 2008
PubMed

Insights

Severe carotid artery stenosis in a 36-year-old man was successfully treated with carotid endarterectomy. The blockage was caused by blunt trauma from a ram

Area of Science:

  • Vascular Surgery
  • Neurology
  • Trauma Surgery

Background:

  • Atherosclerosis is a major cause of cerebrovascular disease.
  • Carotid artery stenosis can lead to ischemic stroke.
  • Traumatic injury is an uncommon cause of carotid artery disease.

Observation:

  • A 36-year-old male presented with symptoms of right arm and leg weakness, paresthesia, and headache.
  • Physical examination revealed a 99% stenosis in the left common carotid artery.
  • The patient had a history of blunt trauma from a ram's horn injury 30 years prior.

Findings:

  • Carotid endarterectomy successfully removed the atherosclerotic plaque causing severe stenosis.
  • Pathological examination confirmed the plaque was atherosclerotic.
  • The stenosis was attributed to the remote traumatic injury.

Implications:

  • This case highlights a rare, long-term consequence of traumatic injury on carotid artery health.
  • It underscores the importance of considering remote trauma in the etiology of atherosclerotic disease.
  • Timely surgical intervention (carotid endarterectomy) can prevent stroke in cases of severe stenosis.

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