Resection Of Internal Carotid Artery Aneurysm
Ann C. Gaffey, MD, Julia D. Glaser, MD, Benjamin M. Jackson, MD.
Hospital of the University of Pennslyvania, Philladelphia, PA, USA.
Background and Purpose: The incidence of internal carotid artery aneurysms is low at 4% of all cerebral aneurysms and thus extra-cranial carotid artery aneurysms constitute an even small percentage. Despite being rare, serious complications may result- namely rupture, thrombosis, or emboli. This “How to Do It” video elucidates a patient’s presentation, intra-operative conduct of a primary repair, and follow up for the aneurysm. Methods: A review was conducted on the patient who referred with an internal carotid artery aneurysm. The demographics, presentation, and operative management were reviewed and presented. Results: The patient underwent an uneventful primary repair of the internal carotid artery aneurysm without incidence of stroke or cranial nerve injury.
Conclusions: The potential risks of cerebral ischemia and rupture argue in favor of surgical treatment of extracranial internal carotid artery aneurysms. Meticulous surgical technique to prevent perioperative emboli is essential.
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