Cataldi A, Occhionorelli S, Rocca T, Adani G L, Traina L, Mascoli F
Dipartimento di Scienze Biomediche e Terapie Avanzate, Università degli Studi di Ferrara Arcispedale S. Anna, Italy.
J Cardiovasc Surg (Torino). 2000 Aug;41(4):623-6.
Aneurysm of the extracranial internal carotid artery is a rare event. This is a pathology with an elevated mortality of 70%. The most important etiologic factor is atherosclerosis. Here we report a case of surgically treated extracranial internal carotid artery (ICA) aneurysm. A 77-year-old man noticed a laterocervical pulsatile mass. Color Doppler ultrasonography revealed an ICA aneurysm related to a parietal thrombosis. The ICA aneurysm was confirmed by intra-arterial digital subtraction angiography, and cerebral computer tomography (CT) was negative. Surgical treatment reconstruction with the interposition of a part of the great saphenous vein was indicated. Exploration of the aneurysmatic wall revealed a posterolateral dissection. In this paper are discussed clinical and therapeutic implications.
