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Evaluates surgical treatment of enlarged true extracranial carotid artery aneurysms, highlighting severe risks of rupture, distal embolization, and stroke.
True extracranial carotid artery aneurysms (ECCAs) are uncommon. Atherosclerosis is the most common etiological factor. Neck pain, a pulsatile mass and murmur at auscultation are the most common symptoms. ECCAs may exhibit severe clinical manifestations due to complications. Cases of rupture can be fatal. There is a risk of distal embolization and stroke in thrombosed cases. We discuss two cases of enlarged ECCA treated surgically in the light of the most recent literature.
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Altun et al. (2018) studied this question.
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