Technical Options for the Surgical Management of Extracranial Carotid Artery Aneurysms

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  • YONEYAMA Taku
    Department of Neurosurgery, Tokyo Women's Medical University Emergency Division, Tokyo Women's Medical University
  • KAWASHIMA Akitsugu
    Department of Neurosurgery, Tokyo Women's Medical University
  • SUGIURA Makoto
    Department of Neurosurgery, Atami Tokoro Memorial Hospital
  • YAMAGUCHI Kohji
    Department of Neurosurgery, Tokyo Women's Medical University
  • ITOU Kaname
    Department of Neurosurgery, Tokyo Women's Medical University
  • NAMIOKA Ai
    Department of Neurosurgery, Tokyo Women's Medical University
  • KAWAMATA Takakazu
    Department of Neurosurgery, Tokyo Women's Medical University Yachiyo Medical Center
  • KUBO Osami
    Department of Neurosurgery, Tokyo Women's Medical University
  • OKADA Yoshikazu
    Department of Neurosurgery, Tokyo Women's Medical University

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タイトル別名
  • —Three Case Reports—

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Three cases of extracranial carotid artery (ECA) aneurysm were treated with various surgical options. Two female patients (74 and 37-year-old women) presented with pulsatile masses in their necks, which were confirmed as ECA aneurysms. Another 65-year-old woman presented with a calcified mass in her neck caused by an ECA aneurysm. The first case was treated with aneurysmorrhaphy with primary closure, the second with replacement of the involved site with vascular prosthesis, and the third with a high flow bypass with proximal ligation of the internal carotid artery. All three different surgical techniques were successful. ECA aneurysms are rare and require careful selection of the surgical method according to etiology, shape, and location of the ECA aneurysm. Proficiency in various vascular reconstruction techniques is a desirable prerequisite for the surgeon in-charge.<br>

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