[Surgical management of a ruptured aneurysm of the common carotid artery--case report].
A case report on 80-year patient ruptured aneurysm of the common carotid artery (CCA), immediately below its branching which leading to pulsatile mass on the neck. Fifteen days later skin perforation and external hemorrhage ensued. The diagnosis was established by clinical examinations, ECHO duplex scan US, arteriography of carotid arteries and CT of the neck (cervical CT). The patient underwent emergency surgical procedure in general endotracheal anesthesia. The approach to the rupture site was hindered by the massive hematoma and thus CCA, ICA and ECA were trapped. Arteriotomy of ICA and CCA was performed and intraluminal shunt placed (inserted). Perforation site was managed using endoluminal Dacron patch fixating by continuous Prolen suture. Narrow Dacron patch was used for closing arteriotomy. The complete surgical procedure lasted 45 minutes. Immediate and 6-th and 12 month follow up examination were conducted (Duplex scan, carotid artery DSA) evidencing no neurological deficits or any other complications. Preoperative condition, intraoperative findings and postoperative course were clearly and thoroughly documented. The author found endoluminal patch plasty at the site of the rupture-induced defect to be simple and safe method.
Maksimović
Z
Z
Centar za vaskularnu hirurgiju Instituta za kardiovaskularne bolesti, Beograd.
Panić
G
G
Vukotić
A
A
Kecman
N
N
Colić
M
M
D000368:Aged; D000369:Aged, 80 and over; D017542:Aneurysm, Ruptured / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000601:surgery*; D017536:Carotid Artery, Common; D006801:Humans; D008297:Male