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Extracranial-intracranial high-flow bypass for post-traumatic cavernous carotid pseudo-aneurysm presenting with
Vivek K Kankane1, Abhijeet G Warade1, Basant K Misra2
1Department of Surgery, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
Abstract:
We present a case of posttraumatic cavernous carotid pseudo-aneurysm presenting with epistaxis, in which microsurgical treatment was the treatment of choice as endovascular treatment was perceived to be too risky because of a bone fragment impinging on the wall of the aneurysm. The patient was successfully managed by a high-flow, radial artery, external carotid artery-middle cerebral artery bypass and trapping of the internal carotid artery. The patient was discharged one week later without any further episode of hemorrhage.
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