title: Successful endovascular treatment of a left common carotid artery aneurysm following failed surgery of a right common carotid artery aneurysm.
abstract: Aneurysm of the common carotid artery is a rare and serious disease requiring prompt treatment in order to avoid neurologic complications. A 39-year-old man presented with voice impairment and a pulsatile mass at the right side of his neck and was found by color Doppler examination to have bilateral common carotid artery aneurysms of unknown origin. The right-sided large aneurysm was treated with placement of an 8 mm interposition Gore-Tex graft between the right common and internal carotid arteries. The surgical graft thrombosed 7 days after the surgery but the left-sided aneurysm was successfully treated by a Jostent peripheral stent-graft. Color Doppler examination showed a patent stent and no filling of the aneurysm on his first and sixth-month follow-up. Bilateral common carotid artery aneurysm is an exceptionally unusual condition and endovascular treatment of carotid artery aneurysms with covered stents may become an effective treatment alternative for these lesions.
authors.affiliation: Department of Radiology, Hacettepe University School of Medicine, Sihhiye 06100, Ankara, Turkey. barbaros@hacettepe.edu.tr
authors.forename: Barbaros E
authors.initials: BE
authors.lastname: Cil
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ucar
authors.forename: Fatma
authors.initials: F
authors.lastname: Ozsoy
authors.forename: Anil
authors.initials: A
authors.lastname: Arat
authors.forename: Cem
authors.initials: C
authors.lastname: Yorgancioglu
authors.forename: Erkmen
authors.initials: E
authors.lastname: Böke
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002340:Carotid Artery Diseases / Q000601:surgery*; D002341:Carotid Artery Thrombosis / Q000209:etiology; D017536:Carotid Artery, Common / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D015607:Stents; D017211:Treatment Failure; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014654:Vascular Patency
chemical_list: D011138:Polytetrafluoroethylene