Extracranial Internal Carotid Artery Aneurysms: case report of asaccular wide-necked aneurysm and review of the literature

Extracranial Internal Carotid Artery Aneurysms: case report of asaccular wide-necked aneurysm and review of the literature

Authors

  • L. Biasi
  • M. Azzarone
  • A. De Troia
  • P. Salcuni, et al.

Keywords:

Extracranial carotid artery, carotid aneurysm, surgery

Abstract

Purpose: to describe a case of atherosclerotic Extracranial internal Carotid Artery Aneurysm (ECAA) with an unique “diverticulum-like” morphological structure, surgically treated and to review the experiences of major referral centers. Case Report: a 76-year-old woman presented with persistent dysphagia and transient hypophonia caused by a growing pulsatiling mass of the neck; duplex ultrasonography and angio-CT scan demonstrated a wide-necked, saccular aneurysm at the origin of the right Internal Carotid Artery (ICA). A total aneurysmectomy with patch angioplasty of the aneurysm of the neck on the carotid wall was successfully performed. No perioperative complications were encountered; at one year follow-up the patient was asymptomatic without any neurological complication and with carotid patency. Conclusions: open surgery remains the gold standard for the treatment of extracranial internal carotid artery aneurysms in terms of patency and reduced risk of adverse complications; endovascular procedures may, in selected cases, provide a valuable additional tool in the armoury of the physician.

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Published

01-12-2008

Issue

Section

CASE REPORTS

How to Cite

1.
Extracranial Internal Carotid Artery Aneurysms: case report of asaccular wide-necked aneurysm and review of the literature. Acta Biomed [Internet]. 2008 Dec. 1 [cited 2024 Jun. 20];79(3):217-22. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/1251