Shrestha U K
Division of Cardiovascular Surgery, Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2008 Oct-Dec;47(172):232-4.
Aneurysm of extracranial carotid artery is an uncommon clinical disease and that presenting as a ruptured aneurysm is extremely rare. This entity represents a challenge to treatment strategy. A 54 year old hypertensive male presented with painful, pulsatile mass in left neck. Duplex scan revealed the ruptured left carotid artery at its bifurcation. Angiogram depicted clear picture of ruptured carotid artery aneurysm. Resection of aneurysm was performed with placement of external carotid shunt. Continuity was maintained with interposition of Dacron graft.
颅外颈动脉动脉瘤是一种罕见的临床疾病，而表现为破裂性动脉瘤的情况极为罕见。这种病症对治疗策略构成挑战。一名54岁的高血压男性患者，左侧颈部出现疼痛性搏动性肿块。双功扫描显示左侧颈动脉在其分叉处破裂。血管造影清晰显示了破裂的颈动脉动脉瘤。进行了动脉瘤切除术，并放置了颈外分流管。通过植入涤纶补片维持血管连续性。
