Symptomatic recurrent carotid stenosis and aneurysmal degeneration after endarterectomy

Background. Aneurysmal degeneration of a carotid reconstruction was not recognized until the patient, who was known to have recurrent carotid artery stenosis, had a thromboembolic stroke. This sequelae of carotid endarterectomy is a serious complication, associated with a high morbidity and mortality rate. This review was conducted to establish the risk of transient ischemic attack and stroke for patients found to have recurrent carotid stenosis associated with aneurysmal degeneration of the carotid artery after endarterectomy. Methods. A case is reported, and 100 literature references of aneurysmall degenartion of the carotid artey after endarterectomy were reviewed