dc.contributor.author
Omran, Safwan
dc.contributor.author
Raude, Ben Heinrich
dc.contributor.author
Müller, Verena
dc.contributor.author
Greiner, Andreas
dc.date.accessioned
2021-10-08T13:39:22Z
dc.date.available
2021-10-08T13:39:22Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/32244
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-31972
dc.description.abstract
INTRODUCTION AND IMPORTANCE: Aneurysms of the carotid artery are rare and potentially a risk factor for developing neurological events. This case report describes the treatment of a giant saccular aneurysm of the right extracranial internal carotid artery (ICA) with adhesion to the vagus verve.
CASE PRESENTATION: An 85 -year-old female presented with an asymptomatic pulsating mass on the right neck. Ultrasonography and MR angiography revealed a giant aneurysm of the right internal carotid artery with a massive tortuosity. Intraoperatively, a massive adhesion of the vagus nerve to the aneurysm was found. A resection of the aneurysm followed by a spatulated end -to -end anastomosis was performed. Postprocedural neurological symptoms included a transient paralysis of the vagus nerve that recovered within six weeks.
CLINICAL DISCUSSION: The treatment options of ICA aneurysms include open surgical and endovascular interventions. Endovascular treatment may be a good option for aneurysms with a particular morphology. However, open surgery is the favorable option for immense ICA aneurysms with a tortuous anatomical path.
CONCLUSION: Aneurysm resection with end -to -end anastomosis is a possible surgical option in the case of tortuous extracranial ICA aneurysms. Leaving parts of the aneurysmal wall prevented occurring persisting damage of the adhesive vagus nerve.
en
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject
Internal carotid artery aneurysm
en
dc.subject
Paralysis of the vagus nerve
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Giant saccular aneurysm of the internal carotid artery with adhesion to the vagus nerve: A Case Report
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
105845
dcterms.bibliographicCitation.doi
10.1016/j.ijscr.2021.105845
dcterms.bibliographicCitation.journaltitle
International Journal of Surgery Case Reports
dcterms.bibliographicCitation.originalpublishername
Elsevier
dcterms.bibliographicCitation.volume
81
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
33887863
dcterms.isPartOf.eissn
2210-2612