Alpha 2.0
Login Register
» Articles » PMID: 19495840

A Carotid Artery Aneurysm with a Twist: Case Report and Review

Overview
Journal Ir J Med Sci
Specialty General Medicine
Date 2009 Jun 5
PMID 19495840
Citations 2
Authors
R L Noad
M E ODonnell
M McCavert
R Gardner
B Lee
L L Lau
Affiliations
Soon will be listed here.
Abstract

Background: Since their original description in 1687, aneurysms of the extracranial internal carotid artery (ICA) remain rare and account for less than 2% of all carotid operations (Zwolak et al. in: J Vasc Surg 1:415-422, 1984; El-Sabrout, Cooley in: J Vasc Surg 31:702-712, 2000). Cerebrovascular morbidity and mortality rates remain high without intervention (Zwolak et al. in: Vasc Surg 1:415-422, 1984).

Case Report: We report an unusual case of a saccular extracranial ICA aneurysm associated with kinking of the ICA and highlight the potential complications and risks associated with such an extreme anatomical deformation.

Conclusion: Extracranial ICA aneurysm can be associated with unusual anatomical variations which can lead to unstable clinical symptomatology due to the variable presence of atherosclerotic material. Despite advances in diagnosis and treatment, surgical repair is not without risks and patients need to be informed of the potential complications.

Citing Articles

Application of surgical revascularization technique in giant aneurysm of the extracranial internal carotid artery: technical report.

Wang X, Zhang M, Tong X Acta Neurochir (Wien). 2024; 166(1):410.

PMID: 39404897 DOI: 10.1007/s00701-024-06311-8.

Current Understanding of Dolichoarteriopathies of the Internal Carotid Artery: A Review.

Yu J, Qu L, Xu B, Wang S, Li C, Xu X Int J Med Sci. 2017; 14(8):772-784.

PMID: 28824313 PMC: 5562132. DOI: 10.7150/ijms.19229.

References
1.
Zwolak R, Whitehouse Jr W, Knake J, Bernfeld B, Zelenock G, Cronenwett J . Atherosclerotic extracranial carotid artery aneurysms. J Vasc Surg. 1984; 1(3):415-22. View
2.
Windfuhr J . Aneurysm of the internal carotid artery following soft tissue penetration injury. Int J Pediatr Otorhinolaryngol. 2001; 61(2):155-9. DOI: 10.1016/s0165-5876(01)00557-2. View
3.
Ballotta E, Thiene G, Baracchini C, Ermani M, Militello C, Da Giau G . Surgical vs medical treatment for isolated internal carotid artery elongation with coiling or kinking in symptomatic patients: a prospective randomized clinical study. J Vasc Surg. 2005; 42(5):838-46. DOI: 10.1016/j.jvs.2005.07.034. View
4.
Johnston K, Rutherford R, Tilson M, Shah D, Hollier L, Stanley J . Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for.... J Vasc Surg. 1991; 13(3):452-8. DOI: 10.1067/mva.1991.26737. View
5.
McCann R . Basic data related to peripheral artery aneurysms. Ann Vasc Surg. 1990; 4(4):411-4. DOI: 10.1007/BF02000509. View