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Bucle sintomático y aneurisma de arteria carótida interna extracraneal / Symptomatic loop and extracranial internal carotid artery aneurysm

Rev. cuba. angiol. cir. vasc; 18(2): 0-0, jul.-dic. 2017. ilus
Artigo em Espanhol | LILACS-Express | ID: biblio-844819

Resumo

Los aneurismas de arteria carótida interna son una entidad infrecuente pero de gran importancia por sus potenciales complicaciones, como embolización, ruptura, compresión estructuras adyacentes y otras. Su también rara asociación con bucle o lazo de 360º de la arteria carótida interna a dicho nivel, aumenta el riesgo de accidentes cerebrovasculares, y por tanto necesario su tratamiento específico. Se presenta el caso clínico de una paciente de 71 años con bucle sintomático y aneurisma sacular de arteria carótida interna sometidos a tratamiento quirúrgico. Se realizó disección y resección del aneurisma y del bucle carotideo con anastomosis término-terminal de la arteria carótida interna. No hubo complicaciones. Fue dada de alta con antiagregación oral y a los tres años de evolución se mantiene asintomática.
The internal carotid artery aneurysms are an infrequent condition of great importance because of their potential complications such as embolization, rupture, and compression of adjacent structures and others. The rare association of aneurysms with the 360º loop of the internal carotid artery at that level increases the risk of strokes and therefore, their specific treatment is required. This is a 71 years-old female patient who presented with symptomatic loop and secular aneurysm in the internal carotid artery, which had been operated on. Dissection and resection of the carotid aneurysm and loop was made using termino-terminal anastomosis of the internal carotid artery. There were no complications. She was discharged from hospital with an oral anti-aggregate treatment and after three years, she remains asymptomatic.
Biblioteca responsável: CU1.1