R L Noad1, M E O'Donnell, M McCavert, R Gardner, B Lee, L L Lau. 1. Regional Department of Vascular and Endovascular Surgery, Belfast City Hospital, c/o Level 5 secretaries, Lisburn Road, Belfast, BT9 7AB, Northern Ireland, UK.
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.
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.
Authors: U Alpagut; M Ugurlucan; E Kafali; O Ali Sayin; T Demir; M Basaran; H Bolgi Demir; E Dayioglu; E Onursal Journal: Acta Chir Belg Date: 2005-08 Impact factor: 1.090
Authors: R M Zwolak; W M Whitehouse; J E Knake; B D Bernfeld; G B Zelenock; J L Cronenwett; E E Erlandson; A Kazmers; L M Graham; S M Lindenauer Journal: J Vasc Surg Date: 1984-05 Impact factor: 4.268