DOI: 10.36347/sjams.2021.v09i02.019

Pages: 271-276

Purpose to describe a case of atherosclerotic Extracranial internal Carotid Artery Aneurysm (EICAA) with an unique “Oval” morphological structure, surgically treated and to review the ex- periences of major referral centers. Case Report: a 60-year-old woman presented with a slowly growing pulsatiling mass for 2 and ½ years years, Occ. dysphagia and Occ. Headeche and Digginess; duplex ultrasonography and MRA scan demonstrated a wide-necked, saccular aneurysm at the origin of the right Internal Carotid Artery (ICA). A total aneurysmectomy with end to end to end anastomosis of the aneurysm of the neck on the carotid wall was successfully performed. No perioperative complications were encountered; at two months follow-up the patient was symptoms significantly subsided without any neurological complication and with carotid patency about 45-50% stenosis. Conclusions: open surgery remains may be the gold standard for the treatment of extracranial internal carotid artery aneurysms in terms of patency and reduced risk of adverse complications; endovascular procedures may, in selected cases, provide a valuable additional tool in the armoury of the physician. (www.bsmmu.org.bd).