Transcervical approach to distal extracranial internal carotid aneurysm

We report the case of a 77-year-old woman presenting with an asymptomatic internal carotid artery (ICA) aneurysm arising at the skull base. The distal right extracranial ICA aneurysm presented as a challenging case due to difficulty in obtaining adequate surgical exposure and preserving the facial n...

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Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 10; no. 3; p. 101463
Main Authors AbouAyash, Joseph, Greif, Benjamin, Salzler, Gregory, Ryer, Evan, Garvin, Robert
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2024
Elsevier
Subjects
Case report
Distal extracranial internal carotid aneurysm
Internal carotid aneurysm
Open repair
Transcervical approach
Transcervical approach
Internal carotid aneurysm
Open repair
Distal extracranial internal carotid aneurysm
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Summary:We report the case of a 77-year-old woman presenting with an asymptomatic internal carotid artery (ICA) aneurysm arising at the skull base. The distal right extracranial ICA aneurysm presented as a challenging case due to difficulty in obtaining adequate surgical exposure and preserving the facial nerves present near the ICA aneurysm. Transcervical open repair with a team of vascular and otolaryngology surgeons was completed successfully. In this report, we detail the operative steps needed to complete this exposure and our perioperative management.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101463