Extracranial saccular atherosclerotic aneurysm of the internal carotid artery (ICA) treated by an oblique end-to-end primary anastomosis
Year: 2013
Type: article
Study design: Case Report
Abstract: A 67-year-old woman presented with a 3-month history of a pulsatile mass on the right side of the neck and a hoarse voice. She did not report any neurological symptoms, and there was no history of trauma, infection or any previous surgical intervention. There was no medical history and the patient was a non-smoker. Physical examination revealed a pulsatile mass below the right angle of mandible with some discomfort along the mandible. CT angiogram (CTA) showed an elongated and tortuous internal carotid artery (ICA) with 180° bend before the formation of 2.7 cm saccular (anteroposterior diameter) aneurysm (figure 1). Subsequently, a total aneurysmectomy with end-to-end oblique anastomosis under a general anaesthesia was performed (figure 2). Overall the patient made an uneventful postoperative recovery. Histopathology confirmed the presence of a true atherosclerotic saccular aneurysm with no evidence of vasculitis or active inflammation (figure 3).
Figure 1
Right internal carotid artery aneurysm.
Figure 2
End to end oblique primary anastomosis.
Figure 3
Saccular atherosclerotic internal carotid artery aneurysm.
Aneurysms of the extracranial portion of carotid arteries are rare. Their reported incidence is about 0.8–1%, and they comprise less than 5% of all …
Source: BMJ Case Reports
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2124100227