Bilateral Extracranial Carotid Artery Aneurysms Treated by Staged Surgical Repair

Autor: K.-M. Park, D.-I. Kim
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: EJVES Short Reports, Vol 36, Iss , Pp 13-15 (2017)
Druh dokumentu: article
ISSN: 2405-6553
DOI: 10.1016/j.ejvssr.2016.11.002
Popis: Introduction: Bilateral extracranial carotid artery aneurysms (ECAAs) are very rare. The case of a patient with bilateral ECAA who underwent staged surgical repair is reported. Report: A 35 year old man was referred with a slow growing pulsatile neck mass causing mild discomfort. Computed tomography and duplex ultrasound showed a right ECAA, with a 3.0 cm diameter 5 cm long true aneurysm, and a left ECAA, with 2.1 cm diameter 4.5 cm long true aneurysm. In two stages, both aneurysms were excised and bypassed with an interposition graft using saphenous vein. Discussion: ECAAs are rare with an incidence of about 4% of all peripheral aneurysms. Selection of treatment options is largely dependent on the aneurysm anatomy, including size and length. During open repair, it is important to avoid nerve injury. Keywords: Extracranial carotid artery aneurysm
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