Hunt J L, Snyder W H
J Trauma. 1979 Mar;19(3):198-200. doi: 10.1097/00005373-197903000-00013.
A patient with a rapidly enlarging symptomatic false aneurysm of the internal carotid artery 30 years after nonoperative treatment of a penetrating neck injury is presented. Preoperative compression of the aneurysm precipitated transient cerebral ischemic attacks. Complete interruption of the right internal carotid artery inflow during aneurysmectomy was considered to be fraught with great danger. An extra-intracranial arterial bypass was therefore performed, and then aneurysmorrhaphy was easily performed and saphenous vein graft interposition accomplished. The importance of early definitive treatment of arterial injuries is emphasized. The bypass used allowed additional cerebral blood flow when complete occlusion of the carotid artery was contraindicated.
本文报告了1例穿透性颈部损伤非手术治疗30年后出现症状性颈内动脉假性动脉瘤且迅速增大的患者。术前对动脉瘤进行压迫可诱发短暂性脑缺血发作。在动脉瘤切除术中完全阻断右颈内动脉血流被认为充满巨大风险。因此，先进行了颅外-颅内动脉搭桥术，随后轻松进行了动脉瘤缝合，并完成了大隐静脉移植。强调了动脉损伤早期确定性治疗的重要性。在颈动脉完全闭塞禁忌时，所采用的搭桥术可增加脑血流量。
