A case of surgical treatment of an aneurysm of the internal carotid artery with severe angulation

Abstract

The leading role among causes of CVA (cerebrovascular accident) is occupied by pathology of the internal carotid artery. The most common etiological factor is a pronounced atherosclerotic process in the area of carotid artery bifurcation. Significantly less common factors are non-atherosclerotic causes of internal carotid artery disease, which include aneurysm and pathological tortuosity. Their combination significantly increases the risk of cerebral events, which requires timely surgical treatment. Surgical treatment is associated with certain intraoperative difficulties. The following is a clinical case of surgical treatment of an aneurysm of the internal carotid artery extracranial segment in combination with its deformation correlated with hemodynamic stenosis of more than 70%. A resection of the tortuosity-aneurysm complex with the formation of an end-to-end anastomosis of the internal carotid artery was performed.