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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2003 December;44(6):767-9

language: English

Neuropathy as the only symptom of common carotid artery spontaneous rupture. Case report

Azzarone M. 1, Cento M. 1, Gobbi S. 1, Tecchio T. 1, Piazza P. 2, Salcuni P. F. 1

1 Vas­cular Sur­gery ­Unit Uni­ver­sity of ­Parma, ­Parma, ­Italy
2 Neu­ro­ra­diology Mag­giore Hospital, ­Parma, ­Italy


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We ­describe a ­case of a ­false aneu­rysm of the ­common ­carotid ­artery, ­caused by spon­ta­neous ­carotid rup­ture, ­with atyp­ical clin­ical pres­en­ta­tion. The ­patient ­came to the our Hos­pital com­plaining of ­left ­shoulder ­pain and func­tional impair­ment of her ­left arm, ­during the ­past 20 ­days. The diag­nostic ­work-up, color Dop­pler ultra­sound, MR and angio­graphy, evi­denced a cer­vical ­false aneu­rysm; the elec­tro­myo­graphy ­showed den­er­va­tion of the del­toid ­muscle, ­caused by cer­vical ­nerve ­roots com­pres­sion. The ther­a­peutic ­stages ­were ­initially an endo­vas­cular ­stent place­ment; ­then a sur­gical ­stage ­with evac­u­a­tion for the ­hematoma and recon­struc­tion of the ­carotid ­artery ­with saph­e­nous ­graft.

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