Occasionally symptomatic kinking of the internal carotid artery will require correction. More frequently one must rectify a kink that occurs after bifurcation endarterectomy when associated with a redundant internal carotid artery. Most procedures described for shortening of the carotid artery are somewhat cumbersome when endarterectomy is also performed or require the use of patch closure. Herein we described a technique for combined endarterectomy of the bifurcation and straightening of a critically angulated internal carotid artery. The approach obviates many of the difficulties encountered with other methods.
Anomalies of the inferior vena cava present a challenge to the performance of infrarenal aortic surgery. In the past, most of these variations were first discovered at surgery while the aorta was being exposed through traditional approaches. Preoperative testing allows the discovery and planning of a case-specific directed approach. Herein is reported a case of a right retroperitoneal exposure for repair of a left-sided inferior vena cava.
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