Skip to main content
NCBI home page
The Texas Heart Institute Journal logoLink to The Texas Heart Institute Journal
. 1988;15(2):91–97.

Surgical Management of Extracranial Carotid Artery Aneurysms

Report of 17 Cases

Gordon C Knight 1, Grady L Hallman 1, George J Reul 1, David A Ott 1, Denton A Cooley 1
PMCID: PMC324798  PMID: 15227258

Abstract

This article reviews the operative techniques, results, and complications associated with the treatment of 17 extracranial carotid artery aneurysms encountered in an overall experience of 6,096 carotid endarterectomies during a 24-year period. All 17 patients were operated upon because of severe symptoms and the potential for stroke. Eight patients underwent an aneurysmorrhaphy with Dacron-patch angioplasty; 7 had resection of the aneurysm, with end-to-end anastomosis and Dacron-patch angioplasty; and 2 underwent clipping of the aneurysm. There was 1 hospital death, in the case of a patient who sustained a postoperative myocardial infarction. Three patients had a postoperative neurologic deficit; this complication was permanent in 1 case and transient in 2. During long-term follow-up, no late stroke occurred; nevertheless, 3 patients died of a myocardial infarction, for an overall 5-year survival rate of 77%. On the basis of this study, we conclude that accessible aneurysms of the extracranial carotid artery can be excised with an acceptable morbidity and mortality. (Texas Heart Institute Journal 1988;15:91-97)

Keywords: Aneurysm, extracranial carotid artery

Keywords: carotid artery, external

Keywords: carotid artery, internal

Keywords: carotid artery diseases

Keywords: stroke, operative management of

Full text

PDF
91

Images in this article

94Image
on p.94

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ausman J. I., Pearce J. E., de los Reyes R. A., Schanz G. Treatment of a high extracranial carotid artery aneurysm with CCA-MCA bypass and carotid ligation. Case report. J Neurosurg. 1983 Mar;58(3):421–424. doi: 10.3171/jns.1983.58.3.0421. [DOI] [PubMed] [Google Scholar]
  2. BEALL A. C., Jr, CRAWFORD E. S., COOLEY D. A., DeBAKEY M. E. Extracranial aneurysms of the carotid artery. Report of seven cases. Postgrad Med. 1962 Aug;32:93–102. doi: 10.1080/00325481.1962.11692659. [DOI] [PubMed] [Google Scholar]
  3. Carrascal L., Mashiah A., Charlesworth D. Aneurysms of the extracranial carotid arteries. Br J Surg. 1978 Aug;65(8):590–592. doi: 10.1002/bjs.1800650820. [DOI] [PubMed] [Google Scholar]
  4. Crawford E. S., DeBakey M. E., Garrett H. E., Howell J. Surgical treatment of occlusive cerebrovascular disease. Surg Clin North Am. 1966 Aug;46(4):873–884. doi: 10.1016/s0039-6109(16)37931-2. [DOI] [PubMed] [Google Scholar]
  5. Gelber B. R., Sundt T. M., Jr Treatment of intracavernous and giant carotid aneurysms by combined internal carotid ligation and extra- to intracranial bypass. J Neurosurg. 1980 Jan;52(1):1–10. doi: 10.3171/jns.1980.52.1.0001. [DOI] [PubMed] [Google Scholar]
  6. Grossi R. J., Onofrey D., Tvetenstrand C., Blumenthal J. Mycotic carotid aneurysm. J Vasc Surg. 1987 Jul;6(1):81–83. doi: 10.1067/mva.1987.avs0060081. [DOI] [PubMed] [Google Scholar]
  7. HARRISON D. F. Two cases of bleeding from the ear from carotid aneurysm. Guys Hosp Rep. 1954;103(2):207–212. [PubMed] [Google Scholar]
  8. Hans S. S. Resection of extracranial carotid artery aneurysm and correction of kink. Surg Gynecol Obstet. 1987 Apr;164(4):384–386. [PubMed] [Google Scholar]
  9. Hart R. G., Easton J. D. Dissections of cervical and cerebral arteries. Neurol Clin. 1983 Feb;1(1):155–182. [PubMed] [Google Scholar]
  10. Houser O. W., Baker H. L., Jr Fibromuscular dysplasia and other uncommon diseases of the cervical carotid artery: angiographic aspects. Am J Roentgenol Radium Ther Nucl Med. 1968 Sep;104(1):201–212. doi: 10.2214/ajr.104.1.201. [DOI] [PubMed] [Google Scholar]
  11. Ito M., Nitta T., Sato K., Ishii S. Cervical carotid aneurysm presenting as transient ischemia and recurrent laryngeal nerve palsy. Surg Neurol. 1986 Apr;25(4):346–350. doi: 10.1016/0090-3019(86)90208-9. [DOI] [PubMed] [Google Scholar]
  12. Kaupp H. A., Haid S. P., Jurayj M. N., Bergan J. J., Trippel O. H. Aneurysms of the extracranial carotid artery. Surgery. 1972 Dec;72(6):946–952. [PubMed] [Google Scholar]
  13. Painter T. A., Hertzer N. R., Beven E. G., O'Hara P. J. Extracranial carotid aneurysms: report of six cases and review of the literature. J Vasc Surg. 1985 Mar;2(2):312–318. [PubMed] [Google Scholar]
  14. Rhodes E. L., Stanley J. C., Hoffman G. L., Cronenwett J. L., Fry W. J. Aneurysms of extracranial carotid arteries. Arch Surg. 1976 Apr;111(4):339–343. doi: 10.1001/archsurg.1976.01360220035006. [DOI] [PubMed] [Google Scholar]
  15. SHEA P. C., Jr, GLASS L. F., REID W. A., HARLAND A. Anastomosis of common and internal carotid arteries following excision of mycotic aneurysm. Surgery. 1955 May;37(5):829–832. [PubMed] [Google Scholar]
  16. Schechter D. C. Cervical carotid aneurysms: Part I. N Y State J Med. 1979 May;79(6):892–901. [PubMed] [Google Scholar]
  17. Shipley A. M., Winslow N., Walker W. W. ANEURYSM IN THE CERVICAL PORTION OF THE INTERNAL CAROTID ARTERY: AN ANALYTICAL STUDY OF THE CASES RECORDED IN THE LITERATURE BETWEEN AUGUST 1, 1925, AND JULY 31, 1936 REPORT OF TWO NEW CASES. Ann Surg. 1937 May;105(5):673–699. doi: 10.1097/00000658-193705000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Smullens S. N. Surgically treatable lesions of the extracranial circulation, including the vertebral artery. Radiol Clin North Am. 1986 Sep;24(3):453–460. [PubMed] [Google Scholar]
  19. Sundt T. M., Jr, Pearson B. W., Piepgras D. G., Houser O. W., Mokri B. Surgical management of aneurysms of the distal extracranial internal carotid artery. J Neurosurg. 1986 Feb;64(2):169–182. doi: 10.3171/jns.1986.64.2.0169. [DOI] [PubMed] [Google Scholar]
  20. Zwolak R. M., Whitehouse W. M., Jr, Knake J. E., Bernfeld B. D., Zelenock G. B., Cronenwett J. L., Erlandson E. E., Kazmers A., Graham L. M., Lindenauer S. M. Atherosclerotic extracranial carotid artery aneurysms. J Vasc Surg. 1984 May;1(3):415–422. [PubMed] [Google Scholar]

Articles from Texas Heart Institute Journal are provided here courtesy of Texas Heart Institute

RESOURCES