Publicação
Surgical repair of cervical internal carotid artery aneurysm in a patient with suspected connective tissue disorder
| Resumo: | Abstract Background: We present an uncommon case of open surgical treatment of an impacting extra-cranial internal carotid artery aneurysm in a 65-year-old female patient which represented the tip of a large iceberg, in this case, presence of a connective tissue disorder (CTD). Case report: Data regarding medical and family history were collected. The patient was referred to our institution due to left latero-cervical mass. Computed tomography angiography showed a large saccular aneurysm of the left internal carotid artery. Open surgical treatment was performed by aneurysmorrhaphy and end-to-end anastomosis. A section of the carotid aneurysmal wall was sent for histological investigation. The patient was discharged with no neurological issues or cranial nerve injuries. Histological examination of the tissue revealed morphological findings suggestive of a severe degenerative disease. Conclusion: The successful treatment for extracranial carotid artery aneurysm (ECAA) is determined by the carotid artery anatomy and aneurysm properties. The need for early diagnosis and extensive examination in patients with ECAA, as well as clinical suspicion of CTD, plays a crucial role in identifying individuals at risk and guiding optimal management strategies and follow-up. |
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| Autores principais: | Campesi,Carlo |
| Outros Autores: | Mascia,Daniele; Melissano,Germano |
| Assunto: | carotid artery aneurysm connective tissue disorder |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | relatório |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| Resumo: | Abstract Background: We present an uncommon case of open surgical treatment of an impacting extra-cranial internal carotid artery aneurysm in a 65-year-old female patient which represented the tip of a large iceberg, in this case, presence of a connective tissue disorder (CTD). Case report: Data regarding medical and family history were collected. The patient was referred to our institution due to left latero-cervical mass. Computed tomography angiography showed a large saccular aneurysm of the left internal carotid artery. Open surgical treatment was performed by aneurysmorrhaphy and end-to-end anastomosis. A section of the carotid aneurysmal wall was sent for histological investigation. The patient was discharged with no neurological issues or cranial nerve injuries. Histological examination of the tissue revealed morphological findings suggestive of a severe degenerative disease. Conclusion: The successful treatment for extracranial carotid artery aneurysm (ECAA) is determined by the carotid artery anatomy and aneurysm properties. The need for early diagnosis and extensive examination in patients with ECAA, as well as clinical suspicion of CTD, plays a crucial role in identifying individuals at risk and guiding optimal management strategies and follow-up. |
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