Elsevier

Journal of Vascular Surgery

Volume 60, Issue 6, December 2014, Pages 1657-1660
Journal of Vascular Surgery

Case report
From the Southern Association for Vascular Surgery
Cough-induced transient ischemic attack treated with revascularization of the external carotid artery

Presented at the Thirty-eighth Annual Meeting of the Southern Association for Vascular Surgery, Palm Beach, Fla, January 15-18, 2014.
https://doi.org/10.1016/j.jvs.2014.06.124Get rights and content
Under an Elsevier user license
open archive

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.

Cited by (0)

This work is the result of material supported with resources and the use of facilities at the Dallas Veterans Affairs Hospital, Dallas, Texas.

Author conflict of interest: none.

The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.

Published by Elsevier Inc.