Aneurisma de carótida interna y estenosis carotídea preoclusiva bilateral
| Autor: | H. Cubillas-Martín, F. Vaquero-Lorenzo, J.M. Gutiérrez-Julián, D. López-García, E. Santamarta-Fariña, N. Alonso-Gómez |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Carotid endarterectomy Internal carotid artery aneurysm Anastomosis medicine.disease Stenosis Aneurysm Internal medicine medicine.artery cardiovascular system medicine Cardiology cardiovascular diseases Cognitive decline Internal carotid artery Cardiology and Cardiovascular Medicine business Rare disease |
| Zdroj: | Angiología. 56:513-519 |
| ISSN: | 0003-3170 |
| Popis: | Summary Introduction. Internal carotid artery aneurysm is a very rare disease specially extracraneal with carotid stenosis. Case report. A 75 years-old man, with a history of severe coronary heart disease, had a hemisphere transient ischemic attack (TIA) followed by a progressive cognitive decline. Dupplex ultrasound examination showed bilateral preocclusive carotid stenosis. Anticoagulant treatment was started because of his high cardiologic risk, but the patient experienced a new right hemisphere TIA. Thus, surgical treatment of the symptomatic carotid stenosis was decided. Carotid angiogram confirmed preocclusive carotid lesions and identified a right internal carotid loop. During the intervention a 20 mm of diameter aneurysm was found, 3 cm beyond the internal carotid artery origin, according with this finding the initial purpose changed: carotid endarterectomy with simple suture and aneurysm resection with termino-terminal anastomosis of internal carotid artery were performed. Surgery stopped cerebral ischemic attacks and an important improvement in cognitive decline was achieved. Conclusion. Clinical indications, arteriography findings and surgical techniques are discussed. [ANGIOLOGIA 2004; 56: 513-9] |
| Databáze: | OpenAIRE |
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