[A complex form of internal carotid artery fibrodysplasia. Surgical management].
The clinical case of a 46 years old female is reported , admitted with the diagnosis of cerebral transient ischemic attacks, and subjected to an extensive evaluation. Conventional angiography disclosed the diagnosis of dissection and complete occlusion of the right internal carotid artery and a complex angulated lesion, with microaneurisms, of the middle third of the left internal carotid artery, compatible with the diagnosis of arterial fibrodysplasia. Due to the anatomy of the lesion, an endovascular procedure was judged inapropriate and the patient underwent an excisional surgery, followed by replacement with autologous saphenous vein. The operation and the post operative course were uneventfull and the patient was discharged asymptomatic. One month later she was found in pretty good condition and an echodoppler revealed the graft working in excellent condition. The main aspects of this peculiar pathologic entity are subjected to analysis and discussion.
Castelbranco
Orlanda
O
Clínica Universitária de Cirurgia Vascular, Hospital de Santa Maria, Lisboa, Portugal.
Romero
Madalena
M
Martins
Carlos
C
Dinis da Gama
A
A
D002340:Carotid Artery Diseases / Q000473:pathology* / Q000601:surgery*; D002343:Carotid Artery, Internal; D005260:Female; D006801:Humans; D008875:Middle Aged