颈动脉-颈动脉旁路术治疗颈动脉动脉瘤。
Carotid-Carotid Bypass for a Carotid Artery Aneurysm.
机构信息
Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
出版信息
World Neurosurg. 2020 Jun;138:7-8. doi: 10.1016/j.wneu.2020.02.113. Epub 2020 Feb 27.
BACKGROUND
Surgical treatment for symptomatic extracranial carotid artery aneurysms should be encouraged because of their high recurrence rates.
CASE DESCRIPTION
A 55-year-old man presented with progressive right-sided hemiparesis and dysarthria. Computed tomography angiography revealed the cause of his repeated cerebral infarction was due to the distal emboli from an intra-aneurysmal thrombus of a giant thrombosed aneurysm at the origin of left common carotid artery. Right common carotid artery-saphenous vein graft-left common carotid artery bypass followed by left common carotid artery ligation was successfully performed.
CONCLUSIONS
Carotid-carotid bypass followed by common carotid artery ligation is an optional procedure for symptomatic proximal common carotid artery aneurysm.
背景
由于症状性颅外颈动脉瘤的复发率较高，应鼓励对其进行手术治疗。
病例描述
一名 55 岁男性因进行性右侧偏瘫和构音障碍就诊。计算机断层血管造影显示，导致其反复脑梗死的原因是左侧颈总动脉起始处巨大血栓性动脉瘤内的瘤内血栓形成的远端栓子。成功实施了右侧颈总动脉-隐静脉移植物-左侧颈总动脉旁路术，随后行左侧颈总动脉结扎术。
结论
对于症状性颈总动脉近端动脉瘤，颈-颈旁路术加颈总动脉结扎术是一种可选的手术方法。
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