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Carotid artery web with fetal posterior cerebral artery variant masquerading as recurrent ipsilateral cryptogenic ischaemic strokes
  1. Rohit Mehra,
  2. Vikram Patra and
  3. Rishi Dhillan
  1. Department of Vascular Surgery, Army Hospital Research and Referral, New Delhi, Delhi, India
  1. Correspondence to Dr Rohit Mehra; capocrimini.rohit{at}


A 31-year-old woman was referred to vascular surgeons with the history of recurrent ischaemic strokes in two cerebral artery territories over a span of 1 year. On investigation, she was found to have a right internal carotid artery web, with thrombus and a fetal right posterior cerebral artery (PCA), which explained the ischaemic strokes in right middle cerebral and PCA territory. The rare association of these two infrequent entities makes the case a singular one in the medical literature. Successful surgical excision was done after multidisciplinary teamwork. The carotid web was excised as part of carotid artery endarterectomy and repaired with great saphenous vein patch angioplasty. The patient made a good recovery.

  • vascular surgery
  • head and neck surgery

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  • Contributors The following is the detailed contribution of the listed authors: RM, Planning, conduct, reporting, conception and design, acquisition of data or analysis and interpretation of data. VP, Conduct, acquisition and interpretation of data. RD, Reporting and analysis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.