ABSTRACT
The multiple exostosis is a hereditary bone tumour. Generally, its complications are benign and are related to compressing surrounding structures such as nerves and vessels. This is the case of a 52-year-old woman with a family history of multiple exostosis, which was complicated by a pseudoaneurysm of the right superficial femoral artery. The delay in diagnosis was allowed to develop this pseudoaneurysm which caused nervous and deep venous compression.
Subject(s)
Aneurysm, False/complications , Aneurysm, False/diagnosis , Exostoses, Multiple Hereditary/complications , Exostoses, Multiple Hereditary/diagnosis , Femoral Artery , Nerve Compression Syndromes/etiology , Sciatic Nerve , Venous Thrombosis/etiology , Aneurysm, False/etiology , Aneurysm, False/surgery , Exostoses, Multiple Hereditary/surgery , Female , Humans , Magnetic Resonance Angiography , Middle Aged , Nerve Compression Syndromes/therapy , Osteotomy/methods , Treatment Outcome , Vascular Surgical Procedures/methods , Venous Thrombosis/therapyABSTRACT
OBJECTIVE: Aneurysm of the extracranial carotid artery is rare. The embolic risk mandates prompt intervention once diagnosed. The aim of this study was to determine therapeutic techniques, their indications and outcomes. PATIENTS AND METHODS: We report a series of ten patients who underwent surgery for extracranial carotid artery aneurysm in the cardiovascular surgery department of La Rabta hospital. RESULTS: There were six men and four women, mean age 43 years. All patients were symptomatic (swelling and pulsatile cervical mass). Two patients had dysphonia and one patient underwent an emergency procedure because of aneurismal rupture. Aneurismal excision was performed in most patients. The arterial reconstruction was performed by end-to-end anastomosis in four cases, interposition of an autologous venous graft in four, interposition of a prosthetic graft in one and suture of a small rent in the artery in one. There was no postoperative mortality. Early postoperative morbidity included one recurrent laryngeal nerve injury, one hypoglossal nerve injury, one stroke and one infection with thrombosis of a prosthetic graft. The follow-up was uneventful. CONCLUSION: Surgical treatment of extracranial carotid aneurysms is required, in most cases with good results. Endovascular treatment may be an effective therapy in selected cases.
