Combined endovascular and vascular surgical therapy of a blister-like distal internal carotid aneurysm in a patient with a right-sided aortic arch.
Blood blister-like aneurysms (BBAs) are rare but challenging to treat owing to their fragile, thin walls and poorly defined necks. A right-sided aortic arch is an uncommon congenital cardiac anomaly with an estimated incidence of only 0.1% and presents a challenge to intubation at vessels above the aortic arch. This represents an extremely rare case of a BBA at the left internal carotid artery with a right-sided aortic arch treated with combined endovascular and vascular surgical therapy. We report the case and provide a short review of the relevant literature.
Zhu
Yue-Qi
YQ
Department of Diagnostic and Interventional Radiology, Jiao Tong University, Shanghai, China.
Li
Ming-Hua
MH
Fang
Chun
C
Wang
Wu
W
Tan
Hua-Qiao
HQ
Cheng
Ying-Sheng
YS
D000328:Adult; D015901:Angiography, Digital Subtraction; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures