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CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2022; 14(04): 157-159
DOI: 10.1055/s-0042-1760224
Clinical Vignette

Large Carotid Aneurysm: An Illustrative Case of Open Surgical Repair

Ottorino Del Foco
1   Clinical Department, Abu Dhabi Stem Cells Center, ADSCC, Abu Dhabi, United Arab Emirates
2   Department of Surgery, Yas Clinic Khalifa City, Khalifa City, Abu Dhabi, United Arab Emirates
3   Division of Vascular Surgery, Department of Surgery, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
,
Ahd Salahaldin Hassan Altaher
2   Department of Surgery, Yas Clinic Khalifa City, Khalifa City, Abu Dhabi, United Arab Emirates
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Abstract

Background Extracranial carotid artery aneurysms are rare and are often localized at the level of the carotid bulb or in the distal internal carotid artery. Generally asymptomatic until an embolic event or a local compression reveals their presence, the rupture is rare.

Case Report We presented a case of a 68-year-old female referred to our hospital for a pulsatile mass on the right side of her neck with no other symptoms. The patient had a history of hypertension that was medically controlled. The duplex ultrasound confirmed the presence of a large internal carotid aneurysm. Angiotomography shows a large 5 cm diameter type 1 aneurysm of the right internal carotid artery and a type 1 2.7 cm diameter of the left carotid artery. Open surgery with aneurysmal resection and direct end-to-end anastomosis was performed with an uneventful course.

Conclusion This is an illustrative case of managing large carotid aneurysms by open surgery.

Keywords

extracranial internal carotid aneurism - open surgery - bilateral internal carotid aneurysm

Authors' Contributions

Both authors contributed to the conception, drafting, and finalization of the case report.


Compliance with Ethical Principles

Reporting of single case reports and small case series does not require prior ethical approval in our institutions.


Consent for Publication

The authors confirm that the patient provided consent for publication on anonymous basis.




Publication History

Article published online:
07 February 2023

© 2023. The Libyan Authority of Scientific Research and Technology and the Libyan Biotechnology Research Center. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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