The emergency treatment of aneurysms of the supra-aortic trunks and of the internal carotid
Regina, G.; Greco, L.; Fullone, M.; Testini, M.; Caruso, G.; Rizzi, R.
Annali Italiani di Chirurgia 71(4): 469-473
2000
ISSN/ISBN: 0003-469X PMID: 11109671 Document Number: 520993
In the last 10 years, four patients with aneurysms of the supraaortic trunks and the internal carotid artery have been operated in emergency at Department of Vascular Surgery of University of Bari. The first case was a mycotic aneurysm of the carotid bifurcation, the second an aneurysm of internal carotid artery interesting the retropharynx, the third a post-operatory pseudoaneurysm of common carotid in a patient affected by Takayasu's disease and the last an atherosclerotic aneurysm of the innominate artery. Clinical picture suggested an immediate surgical treatment in all patients. Different procedure were used depending on size and localization of each lesion. Results in all cases have been satisfactory. The aneurysms of supraaortic trunks and of internal carotid artery are very rare; therefore when clinical picture is dramatic or quickly worsening, emergency treatment is mandatory in order to reduce mortality risk and minimize complications.