Bilateral Extracranial Internal Carotid Artery Aneurysms in a Patient with Marfan Syndrome: Case Report and Review of the Literature

Singh, Aminder; Velineni, Rahul; Varty, K.; Gohel, Manjit

doi:10.1016/j.ejvssr.2019.08.003

Cited by 3 publications

(4 citation statements)

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“…[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] Although with favorable outcomes in both short and long term, open surgery is associated with high occurrence of cranial nerve damage. 11 On the contrary, covered stent in endovascular therapy can immediately exclude blood flow from aneurysms, thereby minimizing complications associated with rupture or local compression. 32,33,[41][42][43][44][45][46]…”

Section: Introductionmentioning

confidence: 99%

“…It has been observed that up to 13% of patients with EICAA exhibit bilateral EICAAs. Additionally, multiple synchronous aneurysms, specifically intracranial ones, have been documented in approximately 15%–20% of patients diagnosed with EICAA 10–14 …”

Section: Introductionmentioning

confidence: 99%

“…Additionally, multiple synchronous aneurysms, specifically intracranial ones, have been documented in approximately 15%–20% of patients diagnosed with EICAA. 10 , 11 , 12 , 13 , 14 …”

Section: Introductionmentioning

confidence: 99%

“…Additionally, multiple synchronous aneurysms, specifically intracranial ones, have been documented in approximately 15%-20% of patients diagnosed with EICAA. [10][11][12][13][14] There are various classifications of EICAA based on their anatomic location. Bouthillier's classification categorizes the cervical, petrous, and intracranial parts as C1, C2, and 3-C7, respectively.…”

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confidence: 99%

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Surgical management of extracranial internal carotid artery aneurysm—Case report and literature review

Jaha,

Ademi,

Rudari

et al. 2023

Clinical Case Reports

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Key Clinical MessageExtracranial internal carotid artery aneurysms (EICAAs) can lead to serious medical conditions, such as stroke or compression over cranial nerves. In very few cases, there may be hemorrhagic complications due to the rupture. Although rare, they should be suspected cause in every patient with transitory ischemic attack or stroke, especially in the presence of pain, palpable mass or bruit in the neck.AbstractExtracranial internal carotid artery aneurysms (EICAAs) are rare arterial aneurysms, with a prevalence of less than 1%. Although they are not common, these aneurysms can lead to serious medical conditions, such as stroke or compression over cranial nerves. In very few cases, there may be hemorrhagic complications due to the rupture of the aneurysm. This report presents a case of a successful surgical intervention for EICAA, and an overview of symptoms, risk factors, causes, diagnostic procedures, treatments, and potential postoperative complications. A 70‐year‐old Albanian lady had been experiencing pain due to a pulsating mass in her neck for many years. Physical examination did not reveal any signs of infection, injury, or previous surgery. A palpable thrill and a carotid bruit were detected over an evident pulsating mass on the left side of her neck. Her past medical history was consistent with three transitory ischemic attacks in recent months and a stroke 5 years earlier. Comorbidities included hypercholesterolemia, hypertension, and long‐standing coronary artery disease. Imaging investigation in terms of ultrasound and CT‐scan confirmed the presence of an aneurysm of the proximal tract of the internal carotid artery measuring 42 × 31 mm. Surgery was indicated on symptomatic and anatomical grounds. The procedure was carried out under general anesthesia. After proximal and distal clamping, the aneurysm was excised followed by end‐to‐end anastomosis of the internal carotid artery. The postoperative course was uneventful, and the patient was discharged home on the fifth postoperative day. Despite the growing number of reported cases of successful endovascular treatment for internal carotid artery aneurysms, open surgery remains a safe and effective treatment option. However, it is crucial to provide customized treatment plans for each patient based on their individual characteristics and the particularities of their aneurysm.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Additionally, multiple synchronous aneurysms, specifically intracranial ones, have been documented in approximately 15%–20% of patients diagnosed with EICAA. 10 , 11 , 12 , 13 , 14 …”

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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