Management of aneurysms of the petrous portion of the internal carotid artery by resection and primary anastomosis.

Intrapetrosal internal carotid artery aneurysms are distinctly uncommon lesions which are difficult to diagnose and treat. With the evolution of the infratemporal fossa approach, direct surgical management of these aneurysms is possible. Application of this technique is detailed in a case report. A discussion of alternate therapeutic modalities and a review of aneurysmal pathophysiology and diagnosis are included.