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Successful endovascular treatment of a left common carotid artery aneurysm following failed surgery of a right common carotid artery aneurysm

Successful endovascular treatment of a left common carotid artery aneurysm following failed surgery of a right common carotid artery aneurysm

Cardiovascular and Interventional Radiology 28(3): 367-371

Aneurysm of the common carotid artery is a rare and serious disease requiring prompt treatment in order to avoid neurologic complications. A 39-year-old man presented with voice impairment and a pulsatile mass at the right side of his neck and was found by color Doppler examination to have bilateral common carotid artery aneurysms of unknown origin. The right-sided large aneurysm was treated with placement of an 8 mm interposition Gore-Tex graft between the right common and internal carotid arteries. The surgical graft thrombosed 7 days after the surgery but the left-sided aneurysm was successfully treated by a Jostent peripheral stent-graft. Color Doppler examination showed a patent stent and no filling of the aneurysm on his first and sixth-month follow-up. Bilateral common carotid artery aneurysm is an exceptionally unusual condition and endovascular treatment of carotid artery aneurysms with covered stents may become an effective treatment alternative for these lesions.

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Accession: 050442929

Download citation: RISBibTeXText

PMID: 15886926

DOI: 10.1007/s00270-004-0097-2

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