title: Autologous carotid artery reconstruction for the extracranial internal carotid artery aneurysm in a patient combined with pulmonary bulla.
abstract: BACKGROUND
  Aneurysm of the extracranial internal carotid artery (AEICA) is extremely rare catastrophic pathology associated with cerebral embolism and rupture. There was no report on AEICA associated with bullous lung disease.
  
  
  METHODS
  We report a case of AECIA in a 44-year-old female patient combined with asymptomatic pulmonary bulla, and successfully treated by autologous carotid artery reconstruction.
  
  
  CONCLUSIONS
  The possibility of a relationship between AEICA and bullous lung disease is discussed about the level of alpha 1-antitrypsin (α1-AT). The using of external carotid artery (ECA) replace of the internal carotid artery (ICA) combined with resection of the AEICA is an autologous reconstruction to restore arterial continuity and avoiding the use of synthetic or vein graft with their potential complications.
authors.affiliation: Department of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, PR China. changshu01@sina.cn
authors.forename: C
authors.initials: C
authors.lastname: Shu
authors.forename: F
authors.initials: F
authors.lastname: Wan
authors.forename: Q
authors.initials: Q
authors.lastname: Li
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D058070:Asymptomatic Diseases; D001768:Blister / Q000150:complications* / Q000000981:diagnostic imaging; D002342:Carotid Artery, External / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008026:Ligation; D008171:Lung Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D019896:alpha 1-Antitrypsin Deficiency / Q000150:complications