Nobel M, Lehmann J, Hananel N, Antebi E
Dept. of Surgery B, Hasharon Hospital, Petah Tikva.
Harefuah. 1990 Mar 1;118(5):260-2.
False aneurysm of the carotid artery is a rare complication of carotid endarterectomy. We present a 65-year-old woman and a 68-year-old man with this condition. In 1 the artery had been closed with a Dacron patch graft, and in the other by direct suture. In the first case the aneurysm was successfully repaired with an expanded GoreTex (PTFE) patch graft sutured with monofilament nylon. In neither case was an organism grown from cultures taken at operation. The incidence of false carotid aneurysm as a complication of endarterectomy is only 0.3%. Usually infection is the main cause. It is therefore surprising that closure with a synthetic patch-graft is not a predisposing factor in the development of false carotid aneurysms, neither according to the literature nor in our own very limited experience with this complication.
颈动脉假性动脉瘤是颈动脉内膜切除术的一种罕见并发症。我们报告了一名65岁女性和一名68岁男性患有这种疾病。其中1例动脉用涤纶补片移植术封闭，另一例通过直接缝合封闭。第一例中，动脉瘤通过用单丝尼龙缝合的膨体聚四氟乙烯（PTFE）补片移植术成功修复。两例手术时采集的培养物均未培养出微生物。作为内膜切除术并发症的假性颈动脉动脉瘤的发生率仅为0.3%。通常感染是主要原因。因此，令人惊讶的是，无论是根据文献还是根据我们自己对这种并发症非常有限的经验，用合成补片移植术封闭都不是假性颈动脉动脉瘤发生的诱发因素。
