Deep Hypothermia and Circulatory Arrest for Surgery of High Extracranial Internal Carotid Aneurysm

• Published in: The Annals of thoracic surgery Vol. 79; no. 5; pp. 1767 - 1769
• Main Authors: Botí, Eduardo Tebar, González, Iván Martín, Bahamonde, José Ángel, León, Juan Martínez, Otero-Coto, Eduardo
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2005; Elsevier Science
• Subjects: Adult; Aneurysm - diagnostic imaging; Aneurysm - surgery; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Carotid Artery Diseases - diagnostic imaging; Carotid Artery Diseases - surgery; Carotid Artery, Internal; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Humans; Male; Medical sciences; Neurology; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the respiratory system; Tomography, X-Ray Computed; Treatment Outcome; Vascular diseases and vascular malformations of the nervous system; 33; High; Nervous system diseases; Internal carotid; Respiratory disease; Cardiovascular disease; Thorax; Extracranial; Cerebral disorder; Arterial disease; Vascular disease; Treatment; Surgery; Central nervous system disease; Cerebrovascular disease; Hypothermia
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2003.10.102

A large, high internal carotid artery aneurysm partially filled with thrombi in a young, 26-year-old male patient was treated by bypass grafting under deep hypothermia and circulatory arrest. This approach may be preferable to other alternatives in patients with high embolic risk and difficult exposure or inadequate space for distal carotid artery clamping.