Surgical treatment of distal cervical internal carotid artery aneurysm

AbstractWe report on a 55-year-old male with an internal carotid artery aneurysm at the level of the second cervical vertebra. Since anti-coagulation therapy failed to preven't the ischemic attack, aneurysmectomy with arterial reconstruction was performed. Vertical mandibular osteotomy allowed a wide working space in deep operative field. This technique is considered to be useful in surgery for aneurysms of the extracranial distal internal carotid artery. [Neural Res 1998; 20: 449–451]