Surgical approach to symptomatic dolichoarteriopathy causing severe stenosis in a 79-year-old female patient

Dolichoarteriopathy of the internal carotid artery (ICA) is characterized by abnormal elongation, kinking, and coiling of the extracranial segment of the ICA, leading to significant cerebrovascular events. This condition is increasingly recognized as a key cause of acute ischemic stroke with advances in clinical and radiological assessment. This report describes a surgical intervention performed on a 79-year-old woman admitted with acute ischemic stroke due to severe stenosis and bilateral dolichoarteriopathy of the ICAs. Following successful surgery, the patient demonstrated significant recovery. This case highlights the importance of early diagnosis and timely surgical intervention. The patient had significant comorbidities, including hypertension and a history of heavy smoking, which are commonly associated with severe bilateral dolichoarteriopathy.