左侧颈总动脉近侧闭塞的传统手术方法是将颈动脉再植入锁骨下动脉,或常作的锁骨下—颈动脉架桥术,亦有采取颈部与经胸联合入路施行动脉内膜切除术或将颈总动脉再植于头臂干或行主动脉一颈动脉搭桥术,但这些方法均需经胸入路手术死亡率与致残率较大。作者报告一例左颈总动脉起始端 The traditional surgical approach to the occlusion of the common carotid artery on the left side is the replanted carotid artery into the subclavian artery or the common subclavian-to-carotid artery bridging. Membrane resection or carotid artery replanted in the brachiocephalic trunk or aorta-carotid artery bypass grafting, but these methods require transcatheter surgical mortality and disability rate. The authors report a case of the left common carotid artery