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- Yoichi Morofuji, Yuki Matsunaga, and Tsuyoshi Izumo.
- Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. Electronic address: yoichi51@hotmail.com.
- World Neurosurg. 2020 Jun 1; 138: 7-8.
BackgroundSurgical treatment for symptomatic extracranial carotid artery aneurysms should be encouraged because of their high recurrence rates.Case DescriptionA 55-year-old man presented with progressive right-sided hemiparesis and dysarthria. Computed tomography angiography revealed the cause of his repeated cerebral infarction was due to the distal emboli from an intra-aneurysmal thrombus of a giant thrombosed aneurysm at the origin of left common carotid artery. Right common carotid artery-saphenous vein graft-left common carotid artery bypass followed by left common carotid artery ligation was successfully performed.ConclusionsCarotid-carotid bypass followed by common carotid artery ligation is an optional procedure for symptomatic proximal common carotid artery aneurysm.Copyright © 2020 Elsevier Inc. All rights reserved.
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