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Internal carotid artery aneurysm. A case report

A I Auer1, J D Nunnelee

  • 1Division of Vascular Surgery, St. John's Mercy Medical Center, St. Louis, MO, USA.

The Journal of Cardiovascular Surgery
|February 1, 1996
PubMed
Summary

A large carotid artery aneurysm associated with fibromuscular hyperplasia was successfully treated with saphenous vein graft replacement. The patient recovered well, with no neurological deficits at one-year follow-up.

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Area of Science:

  • Vascular Surgery
  • Cerebrovascular Disease
  • Interventional Cardiology

Background:

  • Fibromuscular hyperplasia (FMH) is a non-atherosclerotic vasculopathy that can affect various arteries, including the internal carotid artery.
  • Carotid artery aneurysms, particularly large ones, pose a significant risk of thromboembolic events and rupture.
  • Surgical intervention is often necessary for large or symptomatic carotid artery aneurysms.

Observation:

  • A 4 cm internal carotid artery aneurysm was diagnosed in conjunction with fibromuscular hyperplasia.
  • The patient presented with a large, complex cerebrovascular condition requiring surgical management.

Findings:

  • Surgical repair was performed using a proximal greater saphenous vein graft to replace the affected internal carotid artery segment.

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  • The patient experienced a temporary, mild swallowing difficulty post-operatively, which resolved quickly.
  • Postoperative recovery was uneventful, with no neurological deficits observed.

    • Implications:

    • This case highlights the successful surgical management of a large carotid artery aneurysm secondary to fibromuscular hyperplasia.
    • Greater saphenous vein grafting is a viable option for carotid artery reconstruction in complex cases.
    • Effective treatment can lead to excellent long-term neurological outcomes and patient recovery.