Key result
Aneurysmectomy with graft replacement for a right common carotid aneurysm caused by inflammatory leiomyosarcoma resulted in 20-year survival despite graft occlusion and cerebral infarction.
Case Report (n=1)
This case demonstrates the potential for 20-year long-term survival following aneurysmectomy and graft replacement for a carotid aneurysm caused by inflammatory leiomyosarcoma.
Supports consideration of surgical resection for rare carotid aneurysms from inflammatory leiomyosarcoma; hypothesis-generating for graft durability.
We report here on a long-surviving patient with a vascular leiomyosarcoma arising in the right common carotid artery, and some possible reasons for the long-term survival. The patient was a 40-year-old woman who was diagnosed with a right common carotid aneurysm and underwent aneurysmectomy with graft replacement. Two years and nine months after her surgery, she developed a cerebral infarction and left hemiparesis due to graft occlusion, but later achieved functional recovery through physical rehabilitation. She has been alive for 20 years since her surgery.
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Morita et al. (2016) conducted a case report in Right common carotid aneurysm caused by inflammatory leiomyosarcoma (n=1). Aneurysmectomy with graft replacement was evaluated on Long-term survival. Aneurysmectomy with graft replacement for a right common carotid aneurysm caused by inflammatory leiomyosarcoma resulted in 20-year survival despite graft occlusion and cerebral infarction.
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