Balad Surgical Group, 332nd Air Force Theater Hospital, Balad, Iraq.
J Vasc Surg. 2010 Feb;51(2):465-7. doi: 10.1016/j.jvs.2009.07.107. Epub 2009 Sep 26.
Primary aneurysms of the extracranial internal carotid artery are exceptionally rare, with only a very few reports in the medical literature that are not related to known connective tissue disease or antecedent trauma. The natural history of these entities has not been precisely defined. Nevertheless, the embolic risk that an aneurysm at this location represents mandates prompt intervention when identified. We present the case of a 42-year-old female who was found to have a 3-cm aneurysm of the right extracranial internal carotid artery after seeing a physician for refractory headaches. In an austere environment with limited resources, this patient was successfully managed with the use of external carotid transposition to the distal internal carotid artery, cephalad to the aneurysm.
颅内颈外动脉的原发性动脉瘤极为罕见，在医学文献中仅有少数与已知结缔组织病或既往外伤无关的报道。这些病变的自然病程尚未明确。然而，当发现位于该部位的动脉瘤时，其存在栓塞风险，需要及时进行干预。我们报告了 1 例 42 岁女性病例，她因难治性头痛就诊时发现右侧颅外颈内动脉有 3 厘米的动脉瘤。在资源有限的简陋环境中，通过颈外动脉向颅内颈内动脉的远端移位，即高于动脉瘤的位置，成功地对该患者进行了治疗。
