Carotid endarterectomy: A case study and literature review

Abstract

Carotid endarterectomy (CEA) is a preventative surgery that is performed in patient populations at risk of emboli due to an atherosclerotic plaque, located at the carotid bifurcation. Despite the advances in overall treatment, no consensus has been reached on the preferred anaesthetic for CEA. Improved procedural outcomes are due to the advances in medical therapy, cerebral monitoring, improved timing of surgery with improved surgical techniques and the use of ultrasound guided regional techniques. However, the choice of anaesthetic should consider the patient, the hospital’s resources and the preferences of the anaesthesiologist and surgeon.

Cardiovascular medicine in South Africa

“…(13) Tabane, et al present an interesting case of a patient with multiple traditional cardiovascular risk factors, presenting with a stroke, and who underwent carotid endarterectomy. (14) Esmail, et al discuss a rare and instructive presentation of infective endocarditis related to microbiologically confirmed infection with Erysipelothrix rhusiopathiae. (15) Hassan, et al present a compelling case series of parvovirus B19 myocarditis.…”