Aneurysm dissection of the extracranial internal carotid artery.
Aneurysm of the extracranial internal carotid artery is a rare event. This is a pathology with an elevated mortality of 70%. The most important etiologic factor is atherosclerosis. Here we report a case of surgically treated extracranial internal carotid artery (ICA) aneurysm. A 77-year-old man noticed a laterocervical pulsatile mass. Color Doppler ultrasonography revealed an ICA aneurysm related to a parietal thrombosis. The ICA aneurysm was confirmed by intra-arterial digital subtraction angiography, and cerebral computer tomography (CT) was negative. Surgical treatment reconstruction with the interposition of a part of the great saphenous vein was indicated. Exploration of the aneurysmatic wall revealed a posterolateral dissection. In this paper are discussed clinical and therapeutic implications.
Cataldi
A
A
Dipartimento di Scienze Biomediche e Terapie Avanzate, Università degli Studi di Ferrara Arcispedale S. Anna, Italy. alberto.cataldi@galactica.it
Occhionorelli
S
S
Rocca
T
T
Adani
G L
GL
Traina
L
L
Mascoli
F
F
D000368:Aged; D015901:Angiography, Digital Subtraction; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D018615:Ultrasonography, Doppler, Color; D014656:Vascular Surgical Procedures