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CURRENT ISSUEITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus

 

Giornale Italiano di Chirurgia Vascolare 2000 September;7(3):241-6

 CLINICAL CASES

Surgical treatment of extracranial saccular internal carotid aneurysm

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


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