Revista Mexicana de Angiología (Jan 2023)

A yoga related aneurysm? An internal carotid artery aneurysm

  • Verónica Morillo-Jiménez,
  • Elena Marin-Manzano,
  • Marta Gutiérrez-Nistal,
  • Jennifer Mondragón-Zamora,
  • Juan D. Zafra-Angulo,
  • Álvaro Fernández-Heredero

DOI
https://doi.org/10.24875/RMA.22000040
Journal volume & issue
Vol. 51, no. 1

Abstract

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Background: Aneurysms of the internal carotid artery (ICA) are a rare finding, only accounting for 0.4-4% of all peripheral aneurysm and 1% of all carotid diseases. Objective: To evaluate the clinical findings of a carotid aneurysm, considering the patient’s background. Methods: A 54-year-old woman intense yoga practitioner presented with 3 weeks development of a pulsatile mass on the right side of the neck. No history of intravenous catheters, traumatism, or local infections. Ultrasound images revealed a 1.6 cm patent saccular aneurysm ICA dependent. During surgery, visualization of the aneurysm was seen without sign of endothelial damage. Results: Patient underwent elective resection with primary repair and was discharged 2-day postoperatively. Follow-ups revealed complete resolution of the symptoms with intraoperative tissue samples coming back without abnormalities. Conclusions: It is of utmost importance to inquire into the patient’s background and perspective in being able to find an etiological case in rare findings.

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