Nontraumatic Extracranial Carotid Artery Aneurysm

비외상성 경동맥류

  • Kim Bum-Joon (Department of Otolaryngology, Daelim Saint Marys Hospital) ;
  • Choi Jong-Ouck (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
  • Chung Keun (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
  • Kim Yong-Whoan (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University) ;
  • Choi Geon (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University)
  • 김범준 (대림성모병원 이비인후과) ;
  • 최종욱 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 정근 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김용환 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최건 (고려대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 1997.05.01

Abstract

Aneurysm of extracranial carotid artery which usually originated from trauma, but it can be developed by atheroscrelosis, infection and congenital vascular disease, is defined as abnormal dilatation of intimal wall of carotid artery. The proper management should not be delayed due to occurrence of high neulorogic complication. Recently the authors experienced a case of nontraumatic extracranial internal carotid artery aneurysm, which was successfully resected using intraoperative EEG monitoring for the prevention of ischemic attack and was reconstructed with end to end anastomosis using nylon 9 - 0. On postoperative day #13, we could confirm well healed aneurysmal site and normal blood flow in the view of arteriography.

Keywords