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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

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Official Journal of the Italian Society of Vascular and Endovascular Surgery
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Giornale Italiano di Chirurgia Vascolare 1999 March;6(1):59-66

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English, Italian

Ruptured aneu­rysm of the carot­id ­artery bifur­ca­tion and idiopath­ic hypere­osin­o­phil­ic syn­drome. Comments on a ­case ­report

Sensi L., Magnoni F., Cattani M. G. *, Pedrini L.

From the Unità Operativa di Chirurgia Vascolare * Servizio di Anatomia Patologica Ospedale Maggiore C. A. Pizzardi, Bologna, Italy


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Carotid ­artery aneu­rysms are ­rare and ­their spon­ta­ne­ous rup­ture is an extraor­di­nary ­event. The ­authors ­describe a 72-­year-old man ­whose prin­ci­pal symp­tom was a pul­sa­tile ­right latero-­cer­vi­cal ­mass ­that had ­increased in ­size for ­four ­days. Duplex scan­ning, dig­i­tal sub­trac­tion angio­gra­phy and com­pu­ter­ised tomog­ra­phy con­firmed a rup­tured aneu­rysm of the ­right carot­id ­artery bifur­ca­tion. Other inves­ti­ga­tions ­revealed an abdom­i­nal aor­tic aneu­rysm and an idiopath­ic hyper­eo­sin­o­phil­ic syn­drome. Although mul­ti­ple aneu­rysms ­have ­been pre­vi­ous­ly report­ed in var­i­ous hemat­o­log­i­cal dis­eas­es, the ­authors ­believe ­there are no oth­er report­ed cas­es of idiopath­ic hyper­eo­sin­o­phil­ic syn­drome and aneu­rysms involv­ing the aor­ta and carot­id ­artery and ­they dis­cuss ­their eti­ol­o­gy and treat­ment.

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