Balachandran Saravanan, Subrammaniyan Rathinavel, Kumar Ashok, Dharan Lakshmi
Department of Vascular Surgery, Government Stanley Medical College, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2014 Apr;3(2):164-5. doi: 10.4103/2249-4863.137667.
Aneurysms of external carotid artery are rare. Treatments for these are undertaken for the prevention of complications like hemorrhage or rupture, and embolism. We present a 71-year-old male with idiopathic multiple aneurysm for the past 34 years on conservative management and regular follow up for the past 4 years. This case was discussed for the rarity of idiopathic multiple aneurysm of the external carotid artery and the need for individualized treatment protocol to be followed as in this case, only watchful observation considering the age and patient compliance. In this world of evolving surgical techniques and newer treatment modalities, conservative treatment still has a role to play. Primary care physicians at the community level have a major role in following these patients and referring them as and when the need arises.
颈外动脉瘤较为罕见。对其进行治疗是为了预防诸如出血、破裂和栓塞等并发症。我们报告一名71岁男性，患有特发性多发性动脉瘤34年，过去4年接受保守治疗并定期随访。该病例因颈外动脉特发性多发性动脉瘤的罕见性以及需要遵循个体化治疗方案而被讨论，在本病例中，鉴于患者年龄和依从性，仅进行密切观察。在这个外科技术不断发展和有更新治疗方式的时代，保守治疗仍有其作用。社区层面的基层医疗医生在跟踪这些患者并在有需要时进行转诊方面发挥着重要作用。
