EXTRACRANIAL INTERNAL CAROTID ARTERY ANEURYSM: CASE REPORT

Öz

Extracranial internal carotid artery ICA aneurysms, although seen rarely, must be paid attention as it may cause potential fatal complications such as thromboemboli and rupturation. Forty-four year-old female admitted to our clinic with a progressive bulging mass since 5 years on left side of her neck. No neurologic symptom like stroke, transient ischemic attack or cranial nerve dysfunction was detected. Initial investigation with colorduplex ultrasound CDUS demonstrated saccular aneurysm of the ICA on the left. On magnetic resonance angiography MRA a 16x25 mm sacculer aneurysm was revealed on 3cm distal part of left carotid bifurcation. ICA was anastomosed with end-to-end technique following resection of aneurismatic segment

Anahtar Kelimeler

• Carotid Artery, Internal, Aneurysm

EKSTRAKRANYAL İNTERNAL KAROTİD ARTER ANEVRİZMASI: OLGU SUNUMU

Öz

Ekstrakrayal internal karotid arter İKA anevrizması nadir görülen fakat tromboemboli, rüptür gibi potansiyel fetal komplikasyonları nedeniyle üzerinde durulması gereken anevrizmalardır. Kırk dört yaşında bayan hasta yaklaşık 5 yıl önce başlayan ve giderek büyüyen boynunun sol tarafında şişlik şikayeti ile kliniğimize başvurdu. Hastamızda inme, geçici iskemik atak ve kranyal sinir disfonksiyonu gibi herhangi bir nörolojik semptom mevcut değildi. Çekilen servikal renkli doppler ultrasonografi RDUS ile yapılan ilk değerlendirmede, sol İKA’da sakküler tipte anevrizma gözlendi. Hastanın çekilen manyetik rezonans anjiografi MRA tetkikinde sol internal karotis arter bifurkasyonundan yaklaşık 3 cm distalde 16x25 mm çaplı sakküler tipte anevrizma saptandı. Cerrahi tedavide anevrizma rezeksiyonu sonrasında İKA uç uca anastomoze edildi

Anahtar Kelimeler

• Karotid arter,İnternal,Anevrizma

Kaynakça

1. ) Ugurlucan M, et al. Extracranial carotid artery aneurysms: Two different patients – Two different treatment methods:Surgical technique: Turkiye Klinikleri. J Cardiovasc Sci ;18:76-9. ) El-Sabrout R, Cooley DA. Extracranial carotid artery aneurysms:Texas Heart Institute experience. J Vasc Surg 2000; :702–12.
2. ) Mokri B, et al. Extracranial internal carotid artery aneurysms. Mayo Clin Proc 1982;57: 21.
3. ) Coselli JS, Crawford ES. Surgical treatment of aneurysms of the intrathoracic segment of the subclavian artery. Chest 1987;91:704-8.
4. ) Rosset E, et al. Surgical treatment of extracranial internal carotid artery aneurysms. J Vasc Surg 2000;31:713-23.
5. ) Busuttil RW, et al. Selective management of extracranial carotid arterial aneurysms. Am J Surg 1980;140:85-91.
6. ) Thompson JE, Talkington CM. The surgery of carotid aneurysm. In: Greenhalgh RM, Mannick JA, Powell JT, editors. The cause and management of aneurysms. London: W.B. Saunders; 1990. p. 39-48.
7. ) Higashida RT, et al. Intravascular detachable balloon embolization of intracranial aneurysms. Indications and techniques. Acta Radiol. 1986; Suppl 369: 6.
8. Yazının alınma tarihi: 09.12.2013 Kabül tarihi: 04.09.2014 Online basım: 01.10.2014