Oztas Didem Melis, Cobanoglu Seckin, Cakir Asli, Kuguoglu Okan, Oteyaka Emre, Ugurlucan Murat
Department of Cardiovascular Surgery, Biruni University Faculty of Medicine, Istanbul, Turkey.
Department of Radiology, Biruni University Faculty of Medicine, Istanbul, Turkey.
Vascular. 2024 Oct 13:17085381241290634. doi: 10.1177/17085381241290634.
Extracranial internal carotid artery aneurysms are rare entities that arise within the carotid triangle. Although rare, they are clinically significant due to the risk of neurologic thromboembolic events, compression of cranial nerves and vasculature, rupture, and ischemia.
Surgery is the gold-standard treatment for symptomatic patients of all ages with extracranial internal carotid artery aneurysm.
A 26-year-old female patient was admitted to our institution with complaints of left auricular pain, hoarseness, and uncontrollable hypertension. She had a pulsatile mass located at the left cervical region. After diagnosing the extracranial internal carotid artery aneurysm, it was decided that surgery was necessary to relieve the patient's discomfort and prevent possible complications from the aneurysm in the left carotid artery.
In the operation, the aneurysmatic segment was resected and sent for histopathological evaluation. Saphenous vein graft was interposed as end to end anastomosis to the proximal and distal healthy segments of the internal carotid artery.
This case report highlights the surgical management of a 26-year-old female patient who presented to our institution with complaints of left auricular pain, hoarseness, uncontrolled hypertension, and a pulsatile mass localized at the left cervical region and diagnosed extracranial internal carotid artery aneurysm.
颅外颈内动脉瘤是发生于颈动脉三角内的罕见病变。尽管罕见，但由于存在神经血栓栓塞事件、压迫脑神经和血管、破裂及缺血风险，它们具有临床重要性。
手术是各年龄段有症状的颅外颈内动脉瘤患者的金标准治疗方法。
一名26岁女性患者因左耳疼痛、声音嘶哑及难以控制的高血压入住我院。她左侧颈部有一搏动性肿块。在诊断为颅外颈内动脉瘤后，决定进行手术以缓解患者不适并预防左颈动脉动脉瘤可能引发的并发症。
手术中，切除动脉瘤段并送去做组织病理学评估。将大隐静脉移植片端端吻合于颈内动脉近端和远端健康段之间。
本病例报告强调了对一名26岁女性患者的手术治疗，该患者因左耳疼痛、声音嘶哑、难以控制的高血压以及左侧颈部的搏动性肿块入住我院，并被诊断为颅外颈内动脉瘤。
