Avtor/Urednik		Miksić, K; Flis, V; Košir, G; Pavlovič, M; Tetičkovič, E
Naslov		Surgical aspects of fusiform and saccular extracranial carotid artery aneurysms
Tip		članek
Vir		Cardiovasc Surg
Vol. in št.		Letnik 5, št. 2
Leto izdaje		1997
Obseg		str. 190-5
Jezik		eng
Abstrakt		The purpose of this paper is to analyse surgical aspects of aneurysms of the distal extracranial internal carotid artery. Nine cases of extracranial carotid artery aneurysm are reported. Five were fusifor, located at the carotid bifurcation, and four were saccular, confined to the internal carotid artery. An end-to-end plication technique and Dacron patch angioplssty were employed for all fusiform aneurysms. In three saccular lesions, resection and 4-mm polytetrafluoroethylene (PTFE) graft interposition were carried out. In one case with a high lesion, ligation of the carotid artery was performed. Ligation resulted in severe postoperative stroke and fatal outcome. One patient with a saccular lesion developed a transient ischaemic attack after the operation. In other patients no central neurological deficit was produced by the surgery itself. Transient cranial nerve damage occurred in four patients (two hypoglossal nerve; two superior laryngeal nerve). As demonstrated by these cases, synthetic material may be used in restoration of the carotid artery. It is concluded that, according to type, location of the aneurysm and adequacy of contralateral cerebral blood flow, selective management is necessary.
Deskriptorji		CAROTID ARTERY DISEASES ANEURYSM ENDARTERECTOMY, CAROTID POLYTETRAFLUOROETHYLENE POSTOPERATIVE COMPLICATIONS CEREBRAL ISCHEMIA, TRANSIENT