Cervical carotid aneurysms. Two cases surgically treated
Keywords:
surgery, aneurisms, carotidAbstract
Two cases of cervical carotid arterial aneurisms were operated successfully. One of the patients was a young woman and the aneurism was located in the interna! carotid artery; it
was impossible to establish its ethiology. The other case was a traumatic arteriovenous aneurism of the common carotid-internal jugular vein. In the former, by re.ason of the inaccessibility of the upper end of the aneurism which lay on the basis of the skull, it was found necess"ary to performan the proximal and distal ligature of the interna! carotid
artery. The latter was re.sected and arterial continuity was restablished through plastic protesis. Selective carotid arteriography clearly showed the arteriovenous fistula and the cervical aneurismatic pouch. Stress is laid on. the need f9r a detail study of collateral circulation of the brain, on the possibility of carotid ligature as sole treatment of this malformation, or in the temporary interruption over a relatively long period, of carotid blood flow during surgery .
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