Technical options for the surgical management of extracranial carotid artery aneurysms. Three case reports.
Technical options for the surgical management of extracranial carotid artery aneurysms. Three case reports.
复制标题
颅外颈动脉瘤手术治疗的技术选择。
DOI：
10.2176/nmc.52.208
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发表时间：
2012
影响因子：
1.9
通讯作者：
Y. Okada
中科院分区：
文献类型：
--
作者：
Taku Yoneyama;A. Kawashima;M. Sugiura;Kohji Yamaguchi;K. Itou;Ai Namioka;T. Kawamata;O. Kubo;Y. Okada
对3例颅外段颈动脉(ECA)动脉瘤采用不同的手术方式进行治疗。两名女性患者(74岁和37岁)颈部出现搏动性肿块，证实为ECA动脉瘤。另一位65岁女性的颈部出现钙化肿块，是由ECA动脉瘤引起的。1例行一期闭合动脉瘤修补术，2例行人工血管置换术，3例行颈内动脉近端结扎高流量搭桥术。三种不同的手术技术都是成功的。Eca动脉瘤很少见，需要根据Eca动脉瘤的病因、形状和位置仔细选择手术方法。精通各种血管重建技术是主管外科医生的必备条件。
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.