Treatment of a high extracranial carotid artery aneurysm with CCA-MCA bypass and carotid ligation

✓ This article describes a patient who presented with a developmental aneurysm of the internal carotid artery. Because the aneurysm extended from the carotid bifurcation to the base of the skull, direct arterial reconstruction was precluded. A common carotid artery (CCA) to middle cerebral artery bypass was performed with a saphenous vein graft, followed by gradual occlusion of the distal CCA. The operative technique and a review of the treatment for high cervical carotid aneurysms are presented.