Akitsugu Kawashima    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Associate Professor
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	Technical options for the surgical management of extracranial carotid artery aneurysms. Three case reports.
Journal	Formal name：Neurologia medico-chirurgica Abbreviation：Neurol Med Chir (Tokyo) ISSN code：13498029/04708105
Domestic / Foregin	Foregin
Volume, Issue, Page	52(4),pp.208-12
Author and coauthor	Yoneyama Taku, Kawashima Akitsugu, Sugiura Makoto, Yamaguchi Kohji, Itou Kaname, Namioka Ai, Kawamata Takakazu, Kubo Osami, Okada Yoshikazu
Publication date	2012
Summary	Three cases of extracranial carotid artery (ECA) aneurysm were treated with various surgical options. Two female patients (74 and 37-year-old women) presented with pulsatile masses in their necks, which were confirmed as ECA aneurysms. Another 65-year-old woman presented with a calcified mass in her neck caused by an ECA aneurysm. The first case was treated with aneurysmorrhaphy with primary closure, the second with replacement of the involved site with vascular prosthesis, and the third with a high flow bypass with proximal ligation of the internal carotid artery. All three different surgical techniques were successful. ECA aneurysms are rare and require careful selection of the surgical method according to etiology, shape, and location of the ECA aneurysm. Proficiency in various vascular reconstruction techniques is a desirable prerequisite for the surgeon in-charge.
DOI	10.2176/nmc.52.208
PMID	22522332