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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2005, Number 4

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Rev Mex Angiol 2005; 33 (4)

Extracranial carotid aneurysms disease. Surgical management experience

Martínez LC, Sánchez MB, Arriola GHF, Bacelis ARA, Jiménez CJ, Serrano GCA

Language: Spanish
References: 5
Page: 106-109
PDF size: 197.81 Kb.


ABSTRACT

Objective: Describe the management of carotid aneurysms in a limited period of time. A pathology not very frequent even though they are specialized medical centers.
Methods: It was a total of 11 cases with carotid aneurysms, from january 1980 to december 2002. There were 9 cases handled by surgery, and two died of sepsis and rupture of concomitant iliac aneurysms before the carotid surgery.
Results: No deaths after the surgical treatment were reported in 12 months of follow-up. One patient developed postoperatory stroke after ligation of the carotid, leading a neurological sequela in an infectious carotid aneurysm case. The cases with neurological symptoms and the local compression were diminished after the surgical treatment.
Conclusions: This kind of diseases represents a challenge for the vascular surgeon due to its infrequent presentation. The knowledgement of the pathology and the surgery techniques available in the Surgical Center and by the Surgical team are basic to obtain good results.


REFERENCES

  1. El-Sabrout R, Cooley DA. Extracranial carotid artery aneurysm: Texas Heart Institute experience. J Vasc Surg 2000; 31: 702-12.

  2. Cooper A. Account of the first successful operation performed on the common carotid artery for aneurysm, in the year 1808: with the post-mortem examination, in 1821. Guy’s Hospital Rep 1836; 1: 53-9.

  3. Winslow H. Extracranial aneurysm of the internal carotid artery: history and analysis of the cases registered up to Aug 1, 1925. Arch Surg 1926; 13: 689-729.

  4. Shipley AM, Winslow H, Walker WW. Aneurysm of the cervical portion of the internal carotid artery: an analytical study of the cases recorded in the literature between August 1, 1925, and July 31, 1936. Report of two new cases. Ann Surg 1937; 105: 673-98.

  5. Rhodes EL, Stanley JC, Hoffman GL, Cronenwett JL, Fry WJ. Aneurysms of extracranial carotid arteries. Arch Surg 1976; 111: 339-43.




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