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Updated: May 17, 2026

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application

Published on: July 9, 2020

Ruptured large carotid artery aneurysm.

¹Department of Vascular Surgery, Nizam's Institute of Medical Sciences, Panjagutta, Hyderabad, AP India.

The Indian Journal of Surgery

|November 8, 2012

Summary

This case study highlights a rare carotid artery aneurysm in a young adult. Surgical intervention successfully treated the aneurysm, restoring blood flow without neurological deficits.

Area of Science:

Vascular Surgery
Diagnostic Imaging
Emergency Medicine

Background:

Carotid artery aneurysms are uncommon, with the common carotid artery bifurcation being a frequent site for extracranial true aneurysms.
Large carotid artery aneurysms can cause anatomical distortion, potentially leading to intubation challenges during anesthesia.

Purpose of the Study:

To report a case of a large carotid artery aneurysm in a young adult.
To describe the diagnostic and surgical management of this rare condition.

Main Methods:

A 25-year-old male presented with a large, bleeding neck swelling.
Spiral CT angiogram revealed a right common carotid artery aneurysm with internal carotid artery occlusion.
Surgical management involved dissection, clamping, ligation of common and external carotid arteries, thrombus evacuation, debridement, and wound closure with a drain.

Keywords:

Blunt trauma Carotid artery aneurysm Dysphagia Internal carotid artery Nerve injury

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Main Results:

The patient presented with a large right neck swelling and dysphagia.
CT angiography confirmed a large aneurysm at the right common carotid artery bifurcation with an occluded internal carotid artery.
Surgical evacuation of thrombi and debridement of inflamed tissue were performed.
Postoperative recovery was uneventful, with no neurological deficits observed.

Conclusions:

Surgical management of carotid artery aneurysms, even large ones with associated occlusion, can be successful.
Prompt diagnosis and intervention are crucial for favorable outcomes in patients with carotid artery aneurysms.