Aneurysms protruding from the dorsal wall of the internal carotid artery.

Abstract:

:Saccular aneurysms arising at locations other than at arterial divisions are extremely rare. The authors describe eight such aneurysms that protruded from the dorsal wall of the internal carotid artery (ICA) and were unrelated to any arterial junction. Radical surgery was performed in all eight cases. The aneurysms were saccular with a fragile wide or semifusiform neck. Intraoperative rupture occurred in three cases. From this experience, it is emphasized that these unusual protruding aneurysms of the dorsal ICA should be clipped with the clip blade parallel to the parent artery. In addition to clipping, complete wrapping with fascia or Bemsheet (cellulose fabric) is often advisable to prevent slippage of clips or postoperative rupture of residual aneurysm.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Nakagawa F,Kobayashi S,Takemae T,Sugita K

doi

10.3171/jns.1986.65.3.0303

subject

Has Abstract

pub_date

1986-09-01 00:00:00

pages

303-8

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

65

pub_type

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