Direct Repair of a Dorsal Wall Aneurysm on Supraclinoid Internal Carotid Artery

  • Kim, Young-Gyun (Department of Neurosurgery, Daegu Catholic University, School of Medicine) ;
  • Kim, Young-Don (Department of Neurosurgery, Daegu Catholic University, School of Medicine)
  • Published : 2005.02.28

Abstract

Aneurysms arising at locations other than arterial division are rare and the incidence of intraoperative bleeding is far higher in such aneurysms than in usual aneurysms. The authors report a case of intraoperative rupture and laceration on internal carotid artery(ICA) wall during dissecting a dorsal wall aneurysm on supraclinoid ICA and successful repair of the laceration on the parent ICA with microsuture and a Sundt clip-graft.

Keywords

References

  1. Abe M, Tabuchi K, Yokoyama H, Uchino A : Blood blisterlike aneurysms of the internal carotid artery. J Neurosurg 89 :419-424, 1998 https://doi.org/10.3171/jns.1998.89.3.0419
  2. Aldrich F : Anterior (dorsal) paraclinoid aneurysm : case report. Surg Neurol 35 : 374-376, 1991 https://doi.org/10.1016/0090-3019(91)90048-E
  3. Ishikawa T, Nakamura N, Houkin K, Nomura M : Pathological consideration of a 'blister-like' aneurysm at the superior wall of the internal carotid artery : case report. Neurosurgery 40 : 403-405; discussion 405-406, 1997 https://doi.org/10.1097/00006123-199702000-00038
  4. Ishiwata Y, Inomori S, Fujitsu K, Nishimura S, Hirata K, Gondo G, et al : A new intracranial Silastic encircling clip for hemostasis. Technical note. J Neurosurg 73 : 638-639, 1990 https://doi.org/10.3171/jns.1990.73.4.0638
  5. Kawase T, Gotoh K, Toya S : A wrapping clip combined with silastic sheet for emergent hemostasis : technical note. Neurosurgery 35 : 769- 770; discussion 770-771, 1994 https://doi.org/10.1227/00006123-199410000-00030
  6. Lanzino G, diPierro CG, Laws ER Jr : Sutureless repair of major intracranial vessels with the Sundt clip-graft : technical note. Acta Neurochir (Wien) 140 : 491-493, 1998 https://doi.org/10.1007/s007010050130
  7. Nakagawa F, Kobayashi S, Takemae T, Sugita K : Aneurysms protruding from the dorsal wall of the internal carotid artery. J Neurosurg 65 : 303-308, 1986 https://doi.org/10.3171/jns.1986.65.3.0303
  8. Lee CS, Shin HS, Kwon SC, Kim SJ : Surgical experience of unbranched dorsal wall of the internal carotid artery aneurysm. J Korean Neurosurg Soc 27 : 1434-1439, 1998
  9. Ogawa A, Suzuki M, Ogasawara K : Aneurysms at nonbranching sites in the surpaclinoid portion of the internal carotid artery : internal carotid artery trunk aneurysms. Neurosurgery 47 : 578-583; discussion 583- 586, 2000 https://doi.org/10.1097/00006123-200009000-00008
  10. Ogilvy CS : Repair of an arterial perforation of the internal carotid artery using Hemashield wrapping with aneurysm clip reinforcement : technical note. Neurosurgery 40 : 1312-1314, 1997 https://doi.org/10.1097/00006123-199706000-00041
  11. Shigeta H, Kyoshima K, Nakagawa F, Kobayashi S : Dorsal internal carotid artery aneurysms with special reference to angiographic presentation and surgical management. Acta Neurochir (Wien) 119 : 42-48, 1992 https://doi.org/10.1007/BF01541780
  12. Yanaka K, Meguro K, Nose T : Repair of a tear at the base of a blisterlike aneurysm with suturing and an encircling clip : technical note. Neurosurgery 50 : 218-221, 2002 https://doi.org/10.1097/00006123-200201000-00037
  13. Yoshimoto Y, Ochiai C, Nagai M : Cerebral aneurysms unrelated to arterial bifurcations. Acta Neurochir (Wien) 138 : 958-963; discussion 963-964, 1996 https://doi.org/10.1007/BF01411285