• Cardiovasc Intervent Radiol · May 2005

    Case Reports

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

    • Barbaros E Cil, Ibrahim Ucar, Fatma Ozsoy, Anil Arat, Cem Yorgancioglu, and Erkmen Böke.
    • Department of Radiology, Hacettepe University School of Medicine, Sihhiye 06100, Ankara, Turkey. barbaros@hacettepe.edu.tr
    • Cardiovasc Intervent Radiol. 2005 May 1; 28 (3): 367-71.

    AbstractAneurysm 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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