Giant cell arteritis as a cause of extracranial internal carotid artery aneurysm: a case report.


Journal

Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382

Informations de publication

Date de publication:
27 Aug 2024
Historique:
received: 19 04 2024
accepted: 12 06 2024
medline: 27 8 2024
pubmed: 27 8 2024
entrez: 26 8 2024
Statut: epublish

Résumé

This report presents the management of patient with extracranial internal carotid artery pseudoaneurysm due to giant cell arteritis. Left internal carotid artery pseudoaneurysm was diagnosed in a 57-year-old Ukrainian woman, which became a direct indication for surgical treatment involving aneurysm resection and internal carotid artery reimplantation. The used reconstruction technique with oblique cutting of internal carotid artery, aneurysm resection, ellipse-form anastomosis formation, and distal intima fixation prevents the dissection, restenosis, and aneurysm of anastomosis in the long-term postoperative period. Histopathological examination revealed the giant cell arteritis of the internal carotid artery. This case emphasizes the importance of open surgical treatment of extracranial carotid artery aneurysms, which allows to perform optimal carotid artery reconstruction and also define the rare etiology of disease.

Sections du résumé

BACKGROUND BACKGROUND
This report presents the management of patient with extracranial internal carotid artery pseudoaneurysm due to giant cell arteritis.
CASE PRESENTATION METHODS
Left internal carotid artery pseudoaneurysm was diagnosed in a 57-year-old Ukrainian woman, which became a direct indication for surgical treatment involving aneurysm resection and internal carotid artery reimplantation. The used reconstruction technique with oblique cutting of internal carotid artery, aneurysm resection, ellipse-form anastomosis formation, and distal intima fixation prevents the dissection, restenosis, and aneurysm of anastomosis in the long-term postoperative period. Histopathological examination revealed the giant cell arteritis of the internal carotid artery.
CONCLUSION CONCLUSIONS
This case emphasizes the importance of open surgical treatment of extracranial carotid artery aneurysms, which allows to perform optimal carotid artery reconstruction and also define the rare etiology of disease.

Identifiants

pubmed: 39187906
doi: 10.1186/s13256-024-04673-2
pii: 10.1186/s13256-024-04673-2
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

395

Informations de copyright

© 2024. The Author(s).

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Auteurs

Ihor Kobza (I)

Department of Surgery No. 2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.

Yuliia Mota (Y)

Department of Surgery No. 2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine. yuliamota@gmail.com.

Volodymyr Vovk (V)

Department of Pathological Anatomy and Forensic Medicine, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.

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