A common carotid artery aneurysm causing severe dysphagia

Area of Science:

• Vascular Surgery
• Gastroenterology
• Otolaryngology

Background:

• Extracranial carotid artery aneurysms are uncommon vascular abnormalities.
• Dysphagia is a recognized, though infrequent, symptom associated with these aneurysms.
• Aneurysms typically present at or above the carotid bifurcation.

Observation:

• A unique case of a common carotid artery aneurysm is presented.
• The aneurysm caused significant compression of the upper esophagus.
• This compression mimicked the clinical presentation of a post-cricoid carcinoma.

Findings:

• The common carotid artery aneurysm was identified as the cause of dysphagia.
• The anatomical location and size of the aneurysm led to esophageal obstruction.
• Diagnostic imaging confirmed the vascular etiology and its mass effect.

Implications:

• This case underscores the importance of considering vascular causes in the differential diagnosis of dysphagia.
• Accurate diagnosis of carotid artery aneurysms is crucial for appropriate management.
• Early recognition can prevent misdiagnosis and ensure timely intervention for potentially life-threatening conditions.