巨细胞动脉炎致颅外颈内动脉动脉瘤：1 例报告。
Giant cell arteritis as a cause of extracranial internal carotid artery aneurysm: a case report.
机构信息
Department of Surgery No. 2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
Department of Pathological Anatomy and Forensic Medicine, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
出版信息
J Med Case Rep. 2024 Aug 27;18(1):395. doi: 10.1186/s13256-024-04673-2.
BACKGROUND
This report presents the management of patient with extracranial internal carotid artery pseudoaneurysm due to giant cell arteritis.
CASE PRESENTATION
Left internal carotid artery pseudoaneurysm was diagnosed in a 57-year-old Ukrainian woman, which became a direct indication for surgical treatment involving aneurysm resection and internal carotid artery reimplantation. The used reconstruction technique with oblique cutting of internal carotid artery, aneurysm resection, ellipse-form anastomosis formation, and distal intima fixation prevents the dissection, restenosis, and aneurysm of anastomosis in the long-term postoperative period. Histopathological examination revealed the giant cell arteritis of the internal carotid artery.
CONCLUSION
This case emphasizes the importance of open surgical treatment of extracranial carotid artery aneurysms, which allows to perform optimal carotid artery reconstruction and also define the rare etiology of disease.
背景
本报告介绍了一例因巨细胞动脉炎导致的颅外颈内动脉假性动脉瘤患者的治疗方法。
病例介绍
一位 57 岁的乌克兰女性患者被诊断出左侧颈内动脉假性动脉瘤，这直接导致了手术治疗，包括动脉瘤切除和颈内动脉再植入。使用斜切颈内动脉、动脉瘤切除、椭圆形吻合口形成和远端内膜固定的重建技术，可防止在长期的术后期间发生吻合口夹层、再狭窄和动脉瘤。组织病理学检查显示颈内动脉巨细胞动脉炎。
结论
本病例强调了开放手术治疗颅外颈动脉动脉瘤的重要性，这种治疗方法可实现最佳颈动脉重建，还可明确这种罕见疾病的病因。
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