Gil RL, García PJ, Martínez LC, González YJM

Language: Spanish
References: 8
Page: 79-81
PDF size: 120.15 Kb.

ABSTRACT

The extracraneal carotid aneurysms are very rare. Atherosclerosis is the most common etiology, in lesser frecuency: trauma, connective tissue diseases and infections. They´re more frecuent in males. They affect the carotid bifurcation with more frecuency. Ictus risk 50%. Surgical treatment avoids embolic complications. Several techniques include arterial reconstructions with autogenous or synthetic grafts.
We report a 75-year-old female patient´s case, with risk factors for carotid disease submitted to carotid surgery and finding an internal carotid artery aneurysm, 90 degrees dolicity kink and complicated plaque. We carried out aneurysmatic segment resection and end-to-end anastomosis.

REFERENCES

1. Rafik El Sabrout, et al. Extracranial carotid artery aneurysms: Texas Heart Institute Experience. J Vasc Surg 2000; 31; 702-12.

2. Gupta, et al. Extracranial carotid aneurysm related to pregnancy. J Vasc Surg 2004; 40; 375-8.

3. James, et al. Asymptomatic internal carotid artery aneurysm. J Vasc Surg 2003; 37; 210.

4. Minoru, et al. Extracranial carotid aneurysm in Takayasu’s arteritis. J Vasc Surg 2001; 34; 739-42.

5. Bertram, et al. Ruptured internal carotid aneurysm resulting from neurofibromatosis: treatment with intraluminal stent graft. J Vasc Surg 2000; 32; 824-8.

6. Skau, et al. Surgical treatment of distal, extracranial, internal carotid artery aneurysms involving the base of the skull —a multidisciplinary approach—. Eur J Vasc Endovasc Surg 2000; 20; 308-11.

7. Knouse, et al. Pseudomonas aeruginosae causing a right carotid artery micotic aneurysm alter dental extraction procedure. Mayo Clin Proc 2002; 77; 1125-30.

8. Hertzer NR. Extracranial carotid aneurysms: A new look at an old problem. J Vasc Surg 2000; 31: 823-5.