Extracranial carotid aneurysm in Takayasu's arteritis

Abstract

Extracranial carotid aneurysm caused by Takayasu's arteritis is extremely rare. We have experienced six cases of extracranial carotid aneurysm among 106 cases of Takayasu's arteritis that were treated surgically in the past 50 years. We herein review these cases and discuss the surgical indications and postoperative course of this rare disease. We report original observations about extracranial carotid aneurysm in Takayasu's arteritis.

Common Carotid Artery Aneurysm Revealing Takayasu's Arteritis

“…15,16 The presence of a pulsatile mass in the neck is the most common presentation. 9 The characteristics of our patient's pain are typical of carotidynia. 17 The pain and systemic inflammation disappeared after initiation of steroid therapy, suggesting arterial inflammation as the origin of the carotidynia.…”

“…Surgical treatment is recommended for almost all extracranial carotid aneurysms in TA. 9 No clear relationship has been established between systemic inflammation or steroid administration and the incidence of early postoperative complications or anastomotic aneurysm formation in late disease stages, 19 and early operation with the patient under steroid coverage should not be avoided, even in the acute inflammatory stage.…”

“…8 The reported incidence of extracranial carotid aneurysm varies from 1.8% to 3.9%. [9][10][11] Case Report A 27-year-old Caucasian woman presented with a previous history of migraine without aura and Gilbert's syndrome. She had no history of hypertension, trauma, surgery, or irradiation to her neck.…”

Management of Aneurysms in Takayasu’s Arteritis

“…Tabata et al [ 74 ] reported six cases of extracranial carotid aneurysm among 106 cases in 50 years.…”

Case Report: Carotid-cavernous fistula due to aneurysmal rupture in a case of aortoaortitis with bilateral giant internal carotid artery aneurysms

“…[13] Intracranial aneurysms are very rare. They usually occur in the vertebrobasilar system, associated with ipsilateral carotid stenosis, suggesting that hemodynamic stress may be the cause.…”