Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492013000100008
Jornal Vascular Brasileiro
Case report

Aneurisma da artéria carótida interna

Aneurysm of the internal carotid artery

Ludvig Hafner; Marcelo José de Almeida; José Bitu Moreno; Sílvio Antonio Bertachi Uvo; Amauri Porto Nunes; Róvelton Utida; Patrícia Uchôa; Marília Frejuelo

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Resumo

Os aneurismas de artéria carótida interna (ACI) extracraniana são raros. Há poucos relatos na literatura médica quanto à sua etiologia, relacionando-os à doença aterosclerótica, às arterites e alterações decorrentes do trauma ou após procedimento cirúrgico. A história natural da doença ainda não está bem estabelecida. Entretanto, o potencial risco de embolia originário do aneurisma ou mesmo de sua ruptura indica necessidade de intervenção. Apresentamos o relato de caso de uma mulher de 71 anos diagnosticada com aneurisma de 3 cm de diâmetro da ACI extracraniana direita com queixas de cefaleia pulsátil. Após tentativa sem sucesso de tratamento endovascular, optou-se pelo tratamento cirúrgico com aneurismectomia e anastomose primária término-terminal próximo à base do crânio.

Palavras-chave

aneurisma, artéria carótida interna, cirurgia

Abstract

Aneurysms of the extracranial internalcarotid artery are rare. There are few reports in the medical literature about the etiology of this disease, relating it to atherosclerosis, arteritis and alterations due to trauma or after a surgical procedure. The natural history of this disease has not been defined. However, the potential risk of embolism or rupture creates a need for intervention. We will present the case of a 71 year old woman with pulsatile headaches who was diagnosed a 3 cm aneurysm of the right extracranial internal carotid artery. After an unsuccessful attempt at endovascular treatment, we performed an aneurysmectomy and primary arterial anastomosis near the cranium base.

Keywords

aneurism, carotid artery, internal, surgery

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