Classical surgical approach and treatment with clips of extracranial internal carotid artery berry aneurysm

  • Haris Vukas Vascular surgery, University Clinical Centre of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Nedžad Rustempašić Vascular surgery, University Clinical Centre of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Samra Kadić-Vukas Department of Neurology, Cantonal hospital Zenica, Zenica, Bosnia and Herzegovina
  • Dragan Totić Vascular surgery, University Clinical Centre of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Muhamed Djedović Vascular surgery, University Clinical Centre of Sarajevo, Sarajevo, Bosnia and Herzegovina
  • Sid Solaković Vascular surgery, University Clinical Centre of Sarajevo, Sarajevo, Bosnia and Herzegovina

Abstract

Introduction: We can define extracranial carotid artery aneurysm (ECAA) as bulb dilatation greater than 200% of the diameter of the internal carotid artery (ICA) or in a case of common carotid artery (CCA) greater than 150% of the diameter. Surgical intervention is required for the treatment of this disease.

Case report: This study presents an open vascular surgical procedure to resolve ECAA. We report a case of 61 years old woman with an extracranial internal carotid artery berry aneurysm, presented with a headache and dizziness when turning the head aside. Classic open surgery was performed and the lumen of berry aneurysm was separated with three clips from the lumen of ICA.

Conclusions: The open surgical approach is the method of choice for the treatment of extracranial internal carotid artery pathological conditions.

Author Biography

Haris Vukas, Vascular surgery, University Clinical Centre of Sarajevo, Sarajevo, Bosnia and Herzegovina
Clinic of Vascular surgery, specialist

References

1. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg. 1991;13(3):452-8. http://dx.doi.org/10.1067/mva.1991.26737.

2. de Jong KP, Zondervan PE, van Urk H. Extracranial carotid artery aneurysms. European J Vasc Surg. 1989;3(6):557-62.
http://dx.doi.org/10.1016/S0950-821X(89)80132-X.

3. Forbes TL, Nie RG, Kirk Lawlor D. Saccular Aneurysm of the Extracranial Internal Carotid Artery. EJVES Extra. 2003;5(4):49-51.
http://dx.doi.org/10.1016/S1533-3167(03)00049-9.

4. El-Sabrout R, Cooley DA. Extracranial carotid artery aneurysms: Texas Heart Institute experience. J Vasc Surg. 2000;31(4):702-12. http://dx.doi.org/10.1067/mva.2000.104101.

5. Ilic N, Koncar I, Dragas M, Markovic M, Kostic D, Davidovic L. Aneurysm of the kinked extracranial internal carotid artery: extraordinary union. Am Surg. 2010;76(11):E214-5.

6. Mishwani AH, Haleem A, Kiani KA. Giant aneurysm of the extracranial internal carotid artery. J Coll Physicians Surg Pak. 2010;20(5):345-6.
DOI: 05.2010/JCPSP.345346.

7. Lane RJ, Weisman RA, Savino PJ, Schatz NJ. Aneurysm of the internal carotid artery at the base of the skull: an unusual cause of cranial neuropathies. Otolaryngol Head Neck Surg (1979). 1980;88(3):230-2. http://dx.doi.org/10.1177/019459988008800307.

8. Oruckaptan HH, Ozcan OE. Giant extracranial internal carotid artery aneurysm: a rare presentation with an oropharyngeal mass. Otolaryngol Head Neck Surg. 2001;125(5):571-3. http://dx.doi.org/10.1016/s0194-5998(01)81112-8.

9. Vasileiadis I, Kapetanakis S, Fiska A, Vasileiadis D, Dimitriou T. A giant aneurysm of the internal carotid artery, which caused dysphagia: case study and short review of literature. Folia Morphol (Warsz). 2010;69(4):267-70.

10. Wilding LJ, Howlett DC, Anderson HJ, Sangle PD, Violaris N, Evans GH. Extracranial internal carotid artery aneurysm presenting as symptomatic hypoglossal and glossopharyngeal nerve paralysis. J Laryngol Otol. 2004;118(2):150-2.
http://dx.doi.org/10.1258/002221504772784649.

11. Angle N, Dorafshar AH, Ahn SS. Mycotic aneurysm of the internal carotid artery: a case report. Vasc Endovascular Surg. 2003;37(3):213-7.
http://dx.doi.org/10.1177/153857440303700309.

12. O'Connell JB, Darcy S, Reil T. Extracranial internal carotid artery mycotic aneurysm: case report and review. Vasc Endovascular Surg. 2009;43(4):410-5.
http://dx.doi.org/10.1177/1538574409340590.

13. Hosoda K, Fujita S, Kawaguchi T, Shibata Y, Tamaki N. The use of an external-internal shunt in the treatment of extracranial internal carotid artery saccular aneurysms: technical case report. Surg Neurol. 1999;52(2):153-5.
http://dx.doi.org/10.1016/S0090-3019(99)00039-7.

14. Juszkat R, Wróbel M, Golusiński W, Szyfter W, Chęciński P, Oszkinis G. Stent-graft treatment of extracranial internal carotid artery aneurysm. Eur Arch Otorhinolaryngol. 2005;262(10):826-9. http://dx.doi.org/10.1007/s00405-005-0914-5.

15. Trinidad-Hernández M, Introcaso JH, White JV. Combined open and endovascular treatment of a saccular aneurysm and redundant loop of the internal carotid artery. J Vasc Surg. 2006;44(3):642-6. http://dx.doi.org/10.1016/j.jvs.2006.05.015.

16. Ktenidis K, Lioupis A, Megalopoulos A, Antoniadis K, Kiskinis D. New exposure technique for management of giant internal carotid artery aneurysm. J Vasc Surg. 2011;54(2):522-5. http://dx.doi.org/10.1016/j.jvs.2010.12.060.

17. Biasi L, Azzarone M, De Troia A, Salcuni P, Tecchio T. Extracranial internal carotid artery aneurysms: case report of a saccular wide-necked aneurysm and review of the literature. Acta Biomed. 2008;79(3):217-22.

18. Li Z, Chang G, Yao C, Guo L, Liu Y, Wang M, et al. Endovascular stenting of extracranial carotid artery aneurysm: a systematic review. Eur J Vasc Endovasc Surg. 2011;42(4):419-26. http://dx.doi.org/10.1016/j.ejvs.2011.05.008.

19. Angiletta D, Pulli R, Marinazzo D, Frotino P, Maiellaro L, Regina G. Surgical and endovascular treatment of extracranial carotid artery aneurysms: early and long-term results of a single center. Ann Vasc Surg. 2014;28(3):659-64.
http://dx.doi.org/10.1016/j.avsg.2013.05.014.

20. Szopinski P, Ciostek P, Kielar M, Myrcha P, Pleban E, Noszczyk W. A Series of 15 patients with extracranial carotid artery aneurysms: surgical and endovascular treatment. Eur J Vasc Endovasc Surg. 2005;29(3):256-61. http://dx.doi.org/10.1016/j.ejvs.2004.12.021.
Published
2016-06-29
How to Cite
VUKAS, Haris et al. Classical surgical approach and treatment with clips of extracranial internal carotid artery berry aneurysm. Journal of Health Sciences, [S.l.], v. 6, n. 2, p. 128-132, june 2016. ISSN 1986-8049. Available at: <http://www.jhsci.ba/OJS/index.php/jhsci/article/view/317>. Date accessed: 18 aug. 2018. doi: https://doi.org/10.17532/jhsci.2016.317.
Section
Case reports

Keywords

berry aneurysm; carotid artery; open surgical procedure; clips;