Case Report

Combined Saphenous Vein With Free Flap Reconstruction in the Treatment of Carotid Stenosis

Authors: MICHAEL J. PAPPAS MD, ROBERT ALLEN MD, ROBERT C. BATSON MD

Abstract

ABSTRACT:Revascularization for arterial stenosis in varied anatomic sites exposed to therapeutic radiation has been well described. In most circumstances, symptomatic end organ ischemia has been the indication for surgical intervention. We report the case of a patient who had symptomatic carotid stenosis 40 years after having ipsilateral neck dissection with radiation therapy. We did a saphenous vein graft interposition and free flap reconstruction of the overlying damaged skin.

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References