Abstract
A 62-year-old female patient presented with a 4-month history of discomfort and pulsatile mass in the left lateral cervical region. She did not report any history of infection, trauma, previous surgical intervention, or placement of a central venous catheter. Clinical examination revealed a pulsatile mass below the left angle of the mandible. She was evaluated with duplex ultrasound and multi-detector computed tomographic angiography which demonstrated a 19-mm saccular aneurysm originating in the looped part of the left internal carotid artery (Panel A). The looped arterial segment and the saccular aneurysm were resected followed by end-to-end anastomosis of the left internal carotid artery. Histology of the aneurysmal wall confirmed a true saccular aneurysm. There was no evidence of atherosclerosis, connective tissue or vasculitis disorders in the resected arterial segment.
At present, open surgery remains the choice of treatment for aneurysms of the extracranial internal carotid artery, though endovascular treatment may be applicable in selected cases.1,2
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Footnotes
Declaration of conflicting interest
Neither author has any conflicts of interest, financial or otherwise, relating to the content here.
Funding
This research was funded solely through institutional sources.