Surgical management of a mobile floating carotid plaque

A mobile floating carotid plaque (MFCP) is an infrequent pathological lesion with an unknown natural history caused by thinning and rupture of the fibrous cap of the atheromatous plaque; it may result in repeated ischaemic strokes. Duplex carotid ultrasound is a non-invasive technique useful in defi...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2015-03, Vol.20 (3), p.443-444
Main Authors: Moncayo, Karla Elizabeth, Vidal, Juan Jose, García, Raúl, Pereira, David
Format: Article
Language:English
Subjects:
Carotid Stenosis - diagnosis
Carotid Stenosis - etiology
Carotid Stenosis - surgery
Endarterectomy, Carotid - methods
Humans
Male
Middle Aged
Plaque, Atherosclerotic - complications
Plaque, Atherosclerotic - diagnosis
Tomography, X-Ray Computed
Ultrasonography, Doppler, Duplex
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Summary:A mobile floating carotid plaque (MFCP) is an infrequent pathological lesion with an unknown natural history caused by thinning and rupture of the fibrous cap of the atheromatous plaque; it may result in repeated ischaemic strokes. Duplex carotid ultrasound is a non-invasive technique useful in defining the plaque morphology with high sensitivity and specificity. Due to the lack of evidence, treatment remains controversial. We present a patient with an asymptomatic MFCP diagnosed by ultrasound and treated with carotid endarterectomy without neurological complications due to the procedure and without restenosis nor residual flaps during the follow-up.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivu407