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Carotid Artery Compression by the Hyoid Bone

An 83-year-old male presented with bilateral carotid stenosis. Stenosis on the left side was reported to be greater than 70%. A left carotid endarterectomy was undertaken to increase the lumen size and remove the atherosclerotic plaque. During Surgery, the hyoid bone was observed to have a 2-cm calc...

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Published in:Vascular and endovascular surgery 2012-11, Vol.46 (8), p.686-687
Main Authors: Pearlman, Ronald C., Naficy, Mohammad A., Koby, Myles B., Nyanzu, Martin
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Language:English
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description An 83-year-old male presented with bilateral carotid stenosis. Stenosis on the left side was reported to be greater than 70%. A left carotid endarterectomy was undertaken to increase the lumen size and remove the atherosclerotic plaque. During Surgery, the hyoid bone was observed to have a 2-cm calcified horn capable of compressing the carotid artery. This unusual compression was confirmed by radiographic images. In cases where the carotid artery is compressed by the hyoid bone, a carotid endarterectomy rather than a stent may be the procedure of choice.
doi_str_mv 10.1177/1538574412460101
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subjects Aged, 80 and over
Biological and medical sciences
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - etiology
Carotid Stenosis - surgery
Endarterectomy, Carotid
Head Movements
Humans
Hyoid Bone - abnormalities
Hyoid Bone - diagnostic imaging
Hyoid Bone - surgery
Male
Medical sciences
Neurology
Osteotomy
Radiography
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
title Carotid Artery Compression by the Hyoid Bone
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