Extra cranial carotid artery aneurysms(ECAA)- 1 year GGH Experience

Abstract

INTRODUCTION Extracranial carotid
artery aneurysms (ECAAs) are quite rare
lesions that count for 1 of all peripheral
aneurysms and 1.5 of all carotid procedures.
We had three cases in past 1
year.MATERIALS AND METHODSAll
three were males. Case 1 had LT CCA
aneurysm with RT ICA occlusion with LT
vocal cord palsy and Horners syndrome.
Blood culture grew E.Coli. Case 2 had Lt
CCA aneurysm with no neurological deficit.
Case 3 had RT CCA aneurysm with
HO FNAC performed outside with sudden
increase in size of swelling and compression
symptoms Procedure Case 1
and 2 underwent aneurysm repair with
interposition GSV grafting with shunt.
Case 3 underwent CCA,ICA ECA ligation
due to pus in the sac. None of them had
a major neurological deficit. Conclusion
ECAA are difficult to manage. With meticulous
planning and good cerebral protection,
these patients can be managed
without major neurological deficit.