title: Technical options for the surgical management of extracranial carotid artery aneurysms. Three case reports.
abstract: Three cases of extracranial carotid artery (ECA) aneurysm were treated with various surgical options. Two female patients (74 and 37-year-old women) presented with pulsatile masses in their necks, which were confirmed as ECA aneurysms. Another 65-year-old woman presented with a calcified mass in her neck caused by an ECA aneurysm. The first case was treated with aneurysmorrhaphy with primary closure, the second with replacement of the involved site with vascular prosthesis, and the third with a high flow bypass with proximal ligation of the internal carotid artery. All three different surgical techniques were successful. ECA aneurysms are rare and require careful selection of the surgical method according to etiology, shape, and location of the ECA aneurysm. Proficiency in various vascular reconstruction techniques is a desirable prerequisite for the surgeon in-charge.
authors.affiliation: Department of Neurosurgery, Tokyo Women's Medical University, Tokyo, Japan. takuy@nij.twmu.ac.jp
authors.forename: Taku
authors.initials: T
authors.lastname: Yoneyama
authors.forename: Akitsugu
authors.initials: A
authors.lastname: Kawashima
authors.forename: Makoto
authors.initials: M
authors.lastname: Sugiura
authors.forename: Kohji
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Kaname
authors.initials: K
authors.lastname: Itou
authors.forename: Ai
authors.initials: A
authors.lastname: Namioka
authors.forename: Takakazu
authors.initials: T
authors.lastname: Kawamata
authors.forename: Osami
authors.initials: O
authors.lastname: Kubo
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000328:Adult; D000368:Aged; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D002548:Cerebral Revascularization / Q000379:methods; D005260:Female; D006801:Humans; D011859:Radiography; D013536:Suture Techniques / Q000592:standards; D014656:Vascular Surgical Procedures / Q000379:methods*