• The tortuous internal carotid artery is occasionally encountered during carotid endarterectomy. While much has been written about the hemodynamic problems associated with the tortuous vessel, a second atherosclerotic plaque in the kinked portion of the artery has not been reported previously, to our knowledge. We encountered such a case, with the second lesion recognized at reexploration following neurologic deficit after a standard carotid endarterectomy. The presence of a solitary lesion at the carotid bifurcation should not be assumed.
(Arch Surg 1983;118:1351)