Spontaneous carotid artery aneurysms

Nair, R.; Robbs, J V; Naidoo, N G

doi:10.1046/j.1365-2168.2000.01355.x

Cited by 23 publications

(24 citation statements)

References 11 publications

(8 reference statements)

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“…Three patients in our series presented with this symptom (9.4 %). A pulsatile cervical mass and localised pain were the most frequent symptoms at the moment of diagnosis [20][21][22]. In our group, most of the patients presented with pulsatile cervical mass (23/ 32; 71.9 %) and associated regional pain at the time of diagnosis (16/32; 50 %).…”

Section: Discussionmentioning

confidence: 88%

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Surgical management of extracranial carotid artery aneurysms

Skóra

Kurcz

Korta

et al. 2016

Vasa

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Abstract. Background: We present the methods and results of the surgical management of extracranial carotid artery aneurysms (ECCA). Postoperative complications including early and late neurological events were analysed. Correlation between reconstruction techniques and morphology of ECCA was assessed in this retrospective study. Patients and methods: In total, 32 reconstructions of ECCA were performed in 31 symptomatic patients with a mean age of 59.2 (range 33 - 84) years. The causes of ECCA were divided among atherosclerosis (n = 25; 78.1 %), previous carotid endarterectomy with Dacron patch (n = 4; 12.5 %), iatrogenic injury (n = 2; 6.3 %) and infection (n = 1; 3.1 %). In 23 cases, intervention consisted of carotid bypass. Aneurysmectomy with end-to-end suture was performed in 4 cases. Aneurysmal resection with patching was done in 2 cases and aneurysmorrhaphy without patching in another 2 cases. In 1 case, ligature of the internal carotid artery (ICA) was required. Results: Technical success defined as the preservation of ICA patency was achieved in 31 cases (96.9 %). There was one perioperative death due to major stroke (3.1 %). Two cases of minor stroke occurred in the 30-day observation period (6.3 %). Three patients had a transient hypoglossal nerve palsy that subsided spontaneously (9.4 %). At a mean long-term follow-up of 68 months, there were no major or minor ipsilateral strokes or surgery-related deaths reported. In all 30 surviving patients (96.9 %), long-term clinical outcomes were free from ipsilateral neurological symptoms. Conclusions: Open surgery is a relatively safe method in the therapy of ECCA. Surgical repair of ECCAs can be associated with an acceptable major stroke rate and moderate minor stroke rate. Complication-free long-term outcomes can be achieved in as many as 96.9 % of patients. Aneurysmectomy with end-to-end anastomosis or bypass surgery can be implemented during open repair of ECCA.

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Section: Discussionmentioning

confidence: 88%

“…We observed such events in 65.6 % of our patients. Dysphagia secondary to compression of the pharyngeal nerve is described as a symptom of ECCA [19,20]. Three patients in our series presented with this symptom (9.4 %).…”

Section: Discussionmentioning

confidence: 91%

Surgical management of extracranial carotid artery aneurysms

Skóra

Kurcz

Korta

et al. 2016

Vasa

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“…In recent reviews of extracranial carotid aneurysms, bacterial agents play a significant role. Other causes of carotid aneurysms include previous carotid surgery, trauma, and uncommonly cystic medial necrosis, Marfan's syndrome, idiopathic medial arteriopathy, fibromuscular dysplasia, Takayasu's arteritis and human immunodeficiency virus‐related arteritis 2,3 …”

Section: Discussionmentioning

confidence: 99%

Extracranial Mycotic Carotid Pseudoaneurysm

Bagia¹,

Hall²

2003

ANZ Journal of Surgery

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“…7,26) Other reported causes of true aneurysms are arteritis, infection, fibromuscular dysplasia, tuberculosis, human immunodeficiency virus, collagen-vascular disease, irradiation, Behcet's disease, and cystic medial necrosis. 2,7,8,14,18,19) There are also multiple causes of false aneurysms. Suture degeneration or infection after carotid endarterectomy and blunt or penetrating trauma to the cervical carotid artery were reported to produce false aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Technical Options for the Surgical Management of Extracranial Carotid Artery Aneurysms

Yoneyama

Kawashima

Sugiura³

et al. 2012

Neurol. Med. Chir.(Tokyo)

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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.

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Spontaneous carotid artery aneurysms

Abstract: Carotid aneurysms pose a considerable surgical challenge but are amenable to operative intervention with good result. Ligation appears to be well tolerated in this group of predominantly non-atherosclerotic aneurysms.

Cited by 23 publications

References 11 publications

Surgical management of extracranial carotid artery aneurysms

Surgical management of extracranial carotid artery aneurysms

Extracranial Mycotic Carotid Pseudoaneurysm

Technical Options for the Surgical Management of Extracranial Carotid Artery Aneurysms

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