Giant cell arteritis as a cause of extracranial internal carotid artery aneurysm: a case report.

Autor: Kobza I; Department of Surgery No. 2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine., Mota Y; Department of Surgery No. 2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine. yuliamota@gmail.com., Vovk V; Department of Pathological Anatomy and Forensic Medicine, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
Jazyk: angličtina
Zdroj: Journal of medical case reports [J Med Case Rep] 2024 Aug 27; Vol. 18 (1), pp. 395. Date of Electronic Publication: 2024 Aug 27.
DOI: 10.1186/s13256-024-04673-2
Abstrakt: Background: This report presents the management of patient with extracranial internal carotid artery pseudoaneurysm due to giant cell arteritis.
Case Presentation: Left internal carotid artery pseudoaneurysm was diagnosed in a 57-year-old Ukrainian woman, which became a direct indication for surgical treatment involving aneurysm resection and internal carotid artery reimplantation. The used reconstruction technique with oblique cutting of internal carotid artery, aneurysm resection, ellipse-form anastomosis formation, and distal intima fixation prevents the dissection, restenosis, and aneurysm of anastomosis in the long-term postoperative period. Histopathological examination revealed the giant cell arteritis of the internal carotid artery.
Conclusion: This case emphasizes the importance of open surgical treatment of extracranial carotid artery aneurysms, which allows to perform optimal carotid artery reconstruction and also define the rare etiology of disease.
(© 2024. The Author(s).)
Databáze: MEDLINE
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