Related Experiment Video
Updated: Dec 2, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Management of an extracranial internal carotid artery aneurysm secondary to relapsing polychondritis
Kush J Sharma1, Calla Heald2, Justin M Simmons1
1Division of Vascular Surgery at Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, Mich.
Abstract:
Extracranial internal carotid artery (EICA) aneurysms make up 1% of peripheral aneurysms and less than 1% of patients who have relapsing polychondritis develop aneurysms. A 39-year-old man with relapsing polychondritis presented with right neck pain. Initial computed tomography angiography demonstrated a 16-mm right EICA aneurysm with growth to 25 mm after 2 months. A right EICA aneurysmectomy, external carotid artery to ICA transposition, and internal jugular vein patch of the common carotid artery was performed with symptom resolution. The inflammatory nature of the underlying disease, aggressive expansion, and symptomatic state warranted open repair and we recommend life-long monitoring given the rarity of this case.
Related Concept Videos
Aneurysm III: Interprofessional Care
Rheumatic Heart Disease III: Medical Management
Aortic Regurgitation III: Medical Management
Pericarditis III: Medical Management
Peripheral Artery Disease III: Interprofessional Care
Myocarditis III: Medical Management

