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Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair
INTRODUCTION AND IMPORTANCE: Extracranial carotid aneurysms (ECCAs) are relatively uncommon. Most of these lesions are due to atherosclerosis, trauma, infection, radiotherapy, previous surgery or iatrogenic event. Severe complications include rupture, dysphagia, respiratory symptoms and brain emboli...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102161/ https://www.ncbi.nlm.nih.gov/pubmed/33996054 http://dx.doi.org/10.1016/j.amsu.2021.102321 |
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author | Robaldo, Alessandro Persi, Federica Trucco, Andrea Apostolou, Dimitri |
author_facet | Robaldo, Alessandro Persi, Federica Trucco, Andrea Apostolou, Dimitri |
author_sort | Robaldo, Alessandro |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Extracranial carotid aneurysms (ECCAs) are relatively uncommon. Most of these lesions are due to atherosclerosis, trauma, infection, radiotherapy, previous surgery or iatrogenic event. Severe complications include rupture, dysphagia, respiratory symptoms and brain embolization. CASE PRESENTATION: We report a case of a large saccular aneurysm of the extracranial internal carotid artery (EICA) in a 83-year old asymptomatic woman without any apparent causative history. The patient underwent a successful repair of the aneurysm by aneurysmectomy and primary end-to-end anastomosis between the proximal and distal portion of the remaining vessel with continuity restored without tension. CLINICAL DISCUSSION: ECCAs are rare with few cases reported in the most recent literature. There is little knowledge of their natural history and management. Both surgical and endovascular as well as medical treatments have been recommended depending on disease-location and comorbidities. CONCLUSION: Although treatment should be individualized time by time by evaluating patient's characteristics, the surgical repair could be a safe and effective solution to treat distal EICAs, especially for symptomatic and true growing lesions. The presentation, the diagnostic evaluation, and the successful surgical treatment are discussed. |
format | Online Article Text |
id | pubmed-8102161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-81021612021-05-14 Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair Robaldo, Alessandro Persi, Federica Trucco, Andrea Apostolou, Dimitri Ann Med Surg (Lond) Case Report INTRODUCTION AND IMPORTANCE: Extracranial carotid aneurysms (ECCAs) are relatively uncommon. Most of these lesions are due to atherosclerosis, trauma, infection, radiotherapy, previous surgery or iatrogenic event. Severe complications include rupture, dysphagia, respiratory symptoms and brain embolization. CASE PRESENTATION: We report a case of a large saccular aneurysm of the extracranial internal carotid artery (EICA) in a 83-year old asymptomatic woman without any apparent causative history. The patient underwent a successful repair of the aneurysm by aneurysmectomy and primary end-to-end anastomosis between the proximal and distal portion of the remaining vessel with continuity restored without tension. CLINICAL DISCUSSION: ECCAs are rare with few cases reported in the most recent literature. There is little knowledge of their natural history and management. Both surgical and endovascular as well as medical treatments have been recommended depending on disease-location and comorbidities. CONCLUSION: Although treatment should be individualized time by time by evaluating patient's characteristics, the surgical repair could be a safe and effective solution to treat distal EICAs, especially for symptomatic and true growing lesions. The presentation, the diagnostic evaluation, and the successful surgical treatment are discussed. Elsevier 2021-04-16 /pmc/articles/PMC8102161/ /pubmed/33996054 http://dx.doi.org/10.1016/j.amsu.2021.102321 Text en © 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Robaldo, Alessandro Persi, Federica Trucco, Andrea Apostolou, Dimitri Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair |
title | Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair |
title_full | Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair |
title_fullStr | Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair |
title_full_unstemmed | Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair |
title_short | Atherosclerotic saccular aneurysm of the extracranial internal carotid artery: Surgical repair |
title_sort | atherosclerotic saccular aneurysm of the extracranial internal carotid artery: surgical repair |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102161/ https://www.ncbi.nlm.nih.gov/pubmed/33996054 http://dx.doi.org/10.1016/j.amsu.2021.102321 |
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