title: Surgical Exposure to Control the Distal Internal Carotid Artery at the Base of the Skull during Carotid Aneurysm Repair.
abstract: Extracranial carotid artery aneurysms are rare. Treatment options for these lesions include endovascular interventions, such as coiling and stenting, or surgical reconstruction, such as resection and primary reanastomosis, or interposition bypass grafting. In this report, we describe the surgical technique used to perform surgical repair of an internal carotid artery aneurysm extending up to the base of the skull. Anterior exposure of the infratemporal fossa and distal control of the carotid artery at the level of the carotid canal was achieved through a transcervical approach, performing double mandibular osteotomies with superior reflection of the middle mandibular section.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, McGill University, Montreal, Canada.
authors.forename: Laura
authors.initials: L
authors.lastname: Davis
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Canada.
authors.forename: Anthony
authors.initials: A
authors.lastname: Zeitouni
authors.affiliation: Department of Oromaxillofacial Surgery, McGill University, Montreal, Canada.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Makhoul
authors.affiliation: Division of Vascular Surgery, Department of Surgery, McGill University, Montreal, Canada. Electronic address: Oren.Steinmetz@muhc.mcgill.ca.
authors.forename: Oren K
authors.initials: OK
authors.lastname: Steinmetz
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery*; D010027:Osteotomy; D011861:Radiography, Dental; D012501:Saphenous Vein / Q000637:transplantation*; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods*; D055815:Young Adult