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[Bilateral internal carotid aneurysms].

Gábor Viktor Szabó1, Zoltán Szeberin, Gábor Bíró

  • 1Semmelweis Egyetem, Altalános Orvostudományi Kar, Er- és Szívsebészeti Klinika, 1122 Budapest, Városmajor utca 68. szabogvdr@gmail.com

Magyar Sebeszet
|November 7, 2007
PubMed
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Surgical intervention for carotid aneurysms larger than 15 mm is recommended to prevent serious complications. Individualized treatment plans, including end-to-end anastomosis, are effective for managing these vascular conditions.

Area of Science:

  • Vascular Surgery
  • Cerebrovascular Diseases

Background:

  • Bilateral carotid aneurysms are rare and pose significant risks.
  • Effective management strategies require careful consideration of aneurysm characteristics.

Observation:

  • Five patients with bilateral carotid aneurysms underwent individualized treatment.
  • Diagnostic workup included duplex scan, angiography, and CT scan.
  • Aneurysm diameters ranged from 9 to 40 mm.

Findings:

  • Surgical reconstruction with end-to-end anastomosis was performed in four patients.
  • One patient received conservative management, and another had a staged approach.
  • A reversible stroke occurred postoperatively in one patient.
  • Long-term follow-up (3-14 years) utilized duplex scans.

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Implications:

  • Surgical treatment is advised for carotid aneurysms >15 mm, those with increasing size, thrombotic plaques, or neurological symptoms.
  • Early surgical intervention can mitigate risks of compression, rupture, and embolization.
  • Individualized treatment plans are crucial for optimal patient outcomes.