| Autor: |
Luis H. Arzola, MD, Kevin Mani, MD, PhD, Gianmarco Zuccon, MD, Tomas Ekberg, MD, PhD, Anders Wanhainen, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Journal of Vascular Surgery Cases and Innovative Techniques, Vol 9, Iss 2, Pp 101161- (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2468-4287 |
| DOI: |
10.1016/j.jvscit.2023.101161 |
| Popis: |
Extracranial carotid artery aneurysms (CAAs) are extremely rare and often require surgical intervention to avoid complications such as local compression symptoms and thrombo-embolization. We present the case of a 63-year-old man with a history of hypertension, meningioma, and an incidental finding of a right saccular internal carotid artery aneurysm at the base of the skull. He underwent open surgical repair; nonetheless, end-to-end anastomosis was not feasible. As bailout, the internal carotid artery was successfully reconstructed with a novel Viabahn-assisted sutureless anastomosis technique (GORE, Viabahn). Postoperative clinical assessment revealed no complications, postoperative computed tomography angiography revealed a patent reconstruction, and the patient was discharged home uneventfully with 1-year clinical and computed tomography angiography follow-up without remarks. Hybrid procedure is a viable option for technically challenging carotid anastomoses near the skull base. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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