Surgical treatment of distal cervical internal carotid artery aneurysm.
We report on a 55-year-old male with an internal carotid artery aneurysm at the level of the second cervical vertebra. Since ant-coagulation therapy failed to prevent the ischemic attack, aneurysmectomy with arterial reconstruction was performed. Vertical mandibular osteotomy allowed a wide working space in deep operative field. This technique is considered to be useful in surgery for aneurysms of the extracranial distal internal carotid artery.
Department of Neurosurgery, Osaka Medical College, Japan.
M
M
Kawanishi
S
S
Nagasawa
A
A
Sugie
S
S
Kawabata
T
T
Kuroiwa
T
T
Ohta
S
S
Tajima
S
S
Ohba
H
H
Kajikawa
D000783:Aneurysm / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000098:blood supply*; D010027:Osteotomy