External Carotid Artery to Internal Carotid Artery Transposition with Patch Resection to Treat an Infected Carotid Endarterectomy Dacron Patch: A Novel Technique

AbstractIntroductionProsthetic patch infection after carotid endarterectomy is a rare but potentially devastating complication. The published literature generally supports patch resection with vein patch closure or venous interposition grafting.ReportOur patient presented nine years post surgery with swelling and discharge related to the operative scar. The prosthetic patch and internal carotid artery were resected and the external carotid artery was transposed to the distal internal carotid artery to restore cerebral perfusion.DiscussionThis case highlights a mode of late presentation of patch infection and introduces a novel surgical technique that has not been described in the contemporary literature reviews