PMC7305374_01
Three dimensional reconstruction of computed tomography angiogram. (A) Pre-operative in anteroposterior view. (B) One year after surgery (lateral view).
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Computed tomographic (CT) angiography (CTA) revealed two isolated fusiform true aneurysms of the right ICA, without intraluminal thrombus (Fig. 1A). Follow up by means of physical examination, duplex examination after three months, and CTA after one year showed no signs of restenosis or anastomotic aneurysms (Fig. 1B).
(A) Intra-operative exposure and control of both internal carotid aneurysms. (B) Venous interposition graft with great saphenous vein.
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After resection of the aneurysms, a reversed great saphenous vein graft was interposed with an end to end anastomosis at each end of the ICA (Fig. 2A and B).