Huge true aneurysm of the facial artery treated with internal trapping and surgical excision: a case report

Abstract

A report of true aneurysms is extremely rare. There are only five previous case reports of true aneurysm of the facial artery. In the previously reported cases, there was no case that underwent trapping and surgical excision. In this case report, we describe the procedure of internal trapping before the surgical excision of a huge true aneurysm of the right facial artery for a 79-year-old woman. There was no recurrence of the aneurysm during a 6-month follow-up period.

Endovascular Management of a Rare Case of a True Facial Artery Aneurysm: A Case Report

“…The male: female ratio was 5:3 indicating almost equal incidence among both the sexes. 2,3,[5][6][7][8][9] In our case, we had a similar demographic profile but our patient had coronary artery disease, hypertension and pulmonary involvement.…”

“…Setacci F et al 8 first reported coil embolization in a patient with a large true aneurysm of the facial artery which was close to the parotid gland, to avoid potential facial nerve injury during surgical dissection. Nakagawa et al 9 reported the first hybrid approach in a 79 years old woman with a huge true aneurysm of the right facial artery. They treated the patient using endovascular internal trapping using coils followed by surgical excision after eight days.…”

“…Facial artery involvement in true aneurysms is rarer with only eight cases reported in literature so far. 2,3,[5][6][7][8][9] In this article, we describe a rare case of true aneurysm of the facial artery which was managed at our centre by endovascular approach.…”