Dimtza, Alex
June 1956
Angiology;Jun1956, Vol. 7 Issue 3, p218
Academic Journal
Two cases of aneurysm of the carotid artery are presented, the first of an aneurysm of the extracranial portion of the left arteria carotis interna, with neurological disturbances. Extirpation and end-to-end suture of the arteria carotis interna was performed. The suture was performed a second time, because the first suture did not hold in a vascular wall which tears easily. There was interruption of the blood circulation for 14 min. Partial resection of the cervical sympathicus was accomplished. Postoperatively, the patient experienced transitory disturbances of speech function; but after 3 years there was good general status with no neurologic disturbance. The second case was of an aneurysm of the arteria carotis communis at the bifurcation. Because of the extensiveness, only the common carotid artery could be isolated and, after provisional throttling, ligated. There can be found only some damage to the fasciculus opticus 1¼ years later, with partial bilateral hemianopsia. In both cases there was arteriosclerotic alteration of vascular walls, but no syphilis. The successful results of the operations, were due to the establishment of good collateral circulation, which was initiated by the size of the aneurysms, with consequent partial stasis. Surgical technique and measures to obviate cerebral damage are described, with indications of the value of neurological examination.


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