Carotid Web Management in Symptomatic Patients: A Case Report and Literature Review

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.