Cough-induced transient ischemic attack treated with revascularization of the external carotid artery

Shirling Tsai, M. Shadman Baig, Fatima Abrantes-Pais, R. James Valentine

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

A 65-year-old man presented with right arm and face weakness associated with severe coughing fits. A computed tomography angiogram revealed an occlusion of the left common and internal carotid arteries and an incomplete circle of Willis. An arch angiogram demonstrated reconstitution of the left external carotid artery, which collateralized with the intracranial left internal carotid artery. The patient underwent left subclavian-to-external carotid artery bypass with reversed saphenous vein, with complete resolution of symptoms over 1 year of follow-up. Cough-induced hemispheric transient ischemic attack is a rarely described hemodynamic phenomenon that can be managed with revascularization of the external carotid artery in select patients.

Original languageEnglish (US)
Pages (from-to)1657-1660
Number of pages4
JournalJournal of vascular surgery
Volume60
Issue number6
DOIs
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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