Hybrid management of the internal carotid artery aneurysm

Abstract

Extracranial aneurysms of the internal carotid artery (ICA), which are rare vascular abnormalities, do not have clear management guidelines and require an individual approach. Fibromuscular dysplasia is one of the most common etiologies in young people.We describe a case of a 53-year-old man who presented with a symptomatic left ICA aneurysm with a maximum diameter of 3.8 cm and significant deviation of the artery prior to the aneurysm. The patient successfully underwent a hybrid intervention: resection and reimplantation of the ICA with simultaneous trans-carotid covered stenting of the aneurysm.