|Objective: To illustrate the necessity, important steps, and risks of a carotid endartectomy for a medical-legal case. The patient in this case had 75% blockage of the internal carotid artery distal to the bifurcation of the common carotid artery. After the surgery, in which the blockage was successfully removed, the patient had symptoms indicating hypoglossal nerve damage which, as shown in the upper right figure, arched slightly lower than normal. Basic neck anatomy is shown, as well as other, more at-risk, nerves closer to the operative site.
The surgery figures were intended to dramatically show the blockage, the complicated yet skillful removal of the plaque, and a favorable conclusion with clean, precise sutures.
References: Operative reports, surgeon, artist's surgical sketches, vascular surgery texts, Clemente's Anatomy, Netter's Atlas of Human Anatomy
Medium: Adobe Photoshop, digital photography
Mode of Presentation/Audience: Medical-legal exhibit / Trial jury
All images ©2001 William W. Scavone. All Rights Reserved. Images are not