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[Internal carotid aneurysm of dysphasic origin]

E Ouldsalek1, R El Idrissi1, B Elfatemi1

  • 1Service de chirurgie vasculaire, hôpital Ibn Sina, Souissi, Rabat 10104, Maroc.

Journal Des Maladies Vasculaires
|December 3, 2014
PubMed

Insights

Surgical resection with prosthetic graft interposition is the gold standard for treating rare extracranial carotid aneurysms, offering a successful outcome for patients at high risk of stroke.

Area of Science:

  • Vascular Surgery
  • Cerebrovascular Disease
  • Aneurysm Research

Background:

  • Extracranial carotid aneurysms are uncommon vascular lesions.
  • These aneurysms pose a significant risk of cerebral embolism, leading to stroke.
  • While endovascular methods have advanced, surgical intervention is often considered the primary treatment.

Observation:

  • A 50-year-old male patient presented with a large left internal carotid artery aneurysm (46 × 26 mm).
  • The patient underwent surgical resection of the aneurysm.
  • A prosthetic graft was used for interposition during the surgery.

Findings:

  • The surgical procedure was successful, with an uneventful postoperative recovery.
  • Pathological examination suggested a dysplastic origin for the aneurysmal sac.
  • This case highlights the efficacy of surgical management for complex carotid aneurysms.

Implications:

  • Surgical treatment, including resection and graft interposition, remains a viable and effective option for extracranial carotid aneurysms.
  • Understanding the etiology, such as dysplasia, is crucial for managing these rare vascular conditions.
  • This case reinforces the importance of surgical expertise in managing cerebrovascular pathologies with high embolic risk.

Keywords:
AneurysmAnévrismeCarotide interneDysplasie fibromusculaireFibromuscular dysplasiaInternal carotid

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