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Journal of Korean Neurosurgical Society 1989;18(5): 775-779.
Pseudoaneurysm of Extracranial High Internal Carotid Artery.
Kyung Jin Lee, Ki Won Sung, Jae Soo Lee, Chang Rak Choi, Jin Un Song
Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.
ABSTRACT
Pseudoaneurysm of extracranial high internal carotid artery was rare lesion. Left hemiparesis was suddenly developed after 6 hours following penetrating injury at right mastoid area by air gun. On brain computerized tomography relatively well defined low density was noted at right temporo-parietal area. On right caratid angiography round aneurysmal dilatation, 2.5x3 cm sized was present at the site of metallic shadow in the atlas. The pseudoaneurysm was treated by the method of direct surgical approach, removal of aneurysm and end to end anastomosis with autogenous saphenous vein interposition bypass graft without difficulty. Postoperative course was not uneven.
Key Words: Pseudoaneurysm; Penetrating injury; Internal carotid artery; Saphenous vein interposition bypass graft; End to end anastomosis
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