ArticleJournal of vascular surgery cases and innovative techniques2026
Open resection and primary anastomosis repair of giant, symptomatic extracranial internal carotid artery aneurysm.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Extracranial internal carotid artery aneurysms are rare and may present with compressive or thromboembolic symptoms. We report the case of a 77-year-old woman with dysphagia and dysphonia caused by a large (5 cm) right internal carotid artery aneurysm with significant oropharyngeal mass effect. Preoperative vocal cord function was normal. Following multidisciplinary discussion, she underwent open resection with primary end-to-end anastomosis. Histology confirmed an atherosclerotic aneurysm. Postoperatively, she developed dysphagia requiring percutaneous endoscopic gastrostomy and a unilateral vocal cord palsy, both of which improved. This case is notable for its size, compressive presentation, and transient multicranial nerve dysfunction following open repair.
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