Carotid-carotid bypass for a carotid artery aneurysm

Yoichi Morofuji, Yuki Matsunaga, Tsuyoshi Izumo
World Neurosurgery 2020 February 26
A 55-year-old man presented with progressive right-sided hemiparesis and dysarthria. Computed tomography angiography revealed the cause of his repeated cerebral infarction was due to the distal emboli from an intra-aneurysmal thrombus of a giant thrombosed aneurysm at the origin of left common carotid artery. Right common carotid artery-saphenous vein graft-left common carotid artery bypass followed by left common carotid artery ligation was successfully performed. Carotid-carotid bypass followed by common carotid artery ligation is an optional procedure for symptomatic proximal common carotid artery aneurysm.

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