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Baglietto F., Schiavetta A., Rovani G., Boccardo M. *, Patrone P.
From the Division of Vascular Surgery * Division of Neurosurgery, S. Corona Hospital Pietra Ligure (Savona, Italy)
Symptomatic saccular aneurysms of the extracranial carotid artery are a relatively rare pathology. Their association with intracranial aneurysms is even rarer. A patient affected by an asymptomatic extracranial internal carotid saccular aneurysm underwent surgical correction. Given that the patient had already undergone two homolateral intracranial saccular aneurysms affecting the middle cerebral artery, the vascular surgeons and neurosurgeons examined different surgical options. The extracranial aneurysm was associated with a kinked internal extracranial carotid artery; therefore, the treatment of choice was considered to be the excision of a segment of the kinked artery together with the ectasic artery. The exclusion of the aneurysm with clips would in fact have left the turbulence due to the kinked artery. The proximal and distal segment of the internal carotid artery were sutured end-to-end. In peculiar situations the surgical correct of this rare pathology is recommended, even if it is sometimes technically demanding. It usually offers good results in the short and long term.
language: English, Italian