Internal carotid artery aneurysm. A case report

This case report documents the diagnosis and treatment of a large carotid artery aneurysm (4 cm) associated with fibromuscular hyperplasia of the internal carotid artery. This patient underwent replacement of the section of internal carotid artery using a segment of the proximal greater saphenous (from the groin to upper thigh). She did well postoperatively with the exception of some difficulty with swallowing, which rapidly cleared. At one year she was neurologically intact with no complaints.