This case involves an 65-year-old male patient in a good state of health who underwent a left carotid endarterectomy. Pre-op imaging had indicated moderate stenosis in the common carotid artery and mild-moderate stenosis in the left subclavian artery. His case was complicated by new findings of neurologic deficits namely, the inability to move his right upper and lower extremities which necessitated immediate re-operation prior to exiting the operating room. Before the surgery, he had been very active and operated a successful roofing business. Post surgery, his quality of life has been significantly impacted as he can no longer run his business due to being a high fall risk, aphasia, and memory and cognitive deficiencies.