We describe a 54-year-old man with neurofibromatosis type 1 who presented with a left-sided neck mass. Computed tomography demonstrated a left common carotid artery aneurysm (51 × 33 mm). Surgery was performed because of the risk of rupture. The left common carotid artery was found to be a huge aneurysmal dilatation, and the arterial wall partially collapsed and extensively adherent to the surrounding tissues. Left common carotid artery to internal carotid artery bypass grafting was performed with a reversed saphenous vein graft. Histopathological examination revealed vascular fragility of the left carotid arterial wall.
GustavoSOTimothyMSThoasCB, et al.Vascular abnormalities in patients with neurofiblomatosis syndrome type1.clinical spectrum, management, and results. J Vasc Surg. 2007;46(3):563–566.
2.
FriedmanJMArbiserJEpsteinJA, et al.Cardiovascular disease in neurofiblomatosis 1: report of the NF1 cardiovascular task force. Genet Med. 2004;4(3):105–111.
3.
HajarSMohammedYBMeriemC, et al.Ruptured left external carotid artery aneurysm presenting as upper airway obstruction in von Recklinghausen’s disease. Int J Surg Case Rep. 2016;26:170–172.
4.
OnkendiEMoghaddamMBOderichGS. Internal carotid artery aneurysms in a patient with neurofiblomatosis type1. Vasc Endovascular Surg. 2010;44(6):511–514.
5.
ShintaniTUekiCAkimotoTSakaguchiG. A case of popliteal artery aneurys in a neurofibtomatosis type I patient. Jpn J Vasc Surg. 201423(7):972–976.
6.
ChewDKMutoPMGordonJKStraceskiAJDonaldsonMC. Spontaneous aortic dissection and rupture in a patient with neurofiblomatosis. J Vasc Surg. 2001;34(2):364–366.
7.
TatebeSAsamiFShinoharaHOkamotoTKuraokaS. Ruptured aneurysm of the subclavian artery in a patient with von Recklinghausen’s disease. Circ J. 2005;69(4):503–506.
8.
MorattiCAnderssonT. Giant extracranial aneurysm of the internal carotid artery in neurofiblomatosis type1. Interv Neuroradiol. 2012;18(3):341–347.
9.
SmithBLMunschauerCEDiamondNRiveraF. Ruptured internal carotid aneurysm resulting from neurofibromatosis: treatment with intraluminal stent graft. J Vasc Surg. 2000;32(4):824–828.
10.
TahaMMNakaharaIHigashiTIwamuroYWatanabeYTakiW. Interventinal neuroradiological techniques for the treatment of aneurysms of the supra-aortic extracranial arteries. Neurol Med Chir (Tokyo). 2010;50(4):275–280.
