title: [Bilateral internal carotid aneurysms].
abstract: The authors discuss the treatment of five patients with bilateral carotid aneurysms and review the relevant literature. During the preoperative workup duplex scan, angiography and CT scan were obtained. The diameter of the aneurysms was in the range from 9 to 40 mm. Treatment plans were largely individualized. Two patients had bilateral and two had unilateral reconstructions carried out with end-to-end anastomosis. One patient was treated conservatively. In one case, a staged approach was chosen due to multiple aneurysms. As a postoperative complication, a reversible stroke was detected in one patient. All patients were followed up (between 3 to 14 years) by six monthly duplex scans. The authors suggest surgical treatment for carotid aneurysms with a diameter above 15 mm, increasing size, thrombotic plaques or neurological sings in order to avoid high risk complications (compression, rupture, embolisation).
authors.affiliation: Semmelweis Egyetem, Altalános Orvostudományi Kar, Er- és Szívsebészeti Klinika, 1122 Budapest, Városmajor utca 68. szabogvdr@gmail.com
authors.forename: Gábor Viktor
authors.initials: GV
authors.lastname: Szabó
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szeberin
authors.forename: Gábor
authors.initials: G
authors.lastname: Bíró
authors.forename: Agnes
authors.initials: A
authors.lastname: Laczkó
authors.forename: Csaba
authors.initials: C
authors.lastname: Dzsinich
authors.forename: György
authors.initials: G
authors.lastname: Acsády
mesh_terms: D000328:Adult; D000368:Aged; D000783:Aneurysm; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D014463:Ultrasonography; D014656:Vascular Surgical Procedures / Q000379:methods