PMC5847247_01
Reconstructed angio-CT scan showing a saccular aneurysm originating from the proximal left ICA
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Internal Carotid Artery (ICA) with a longitudinal diameter of 28mm and transversal diameters of 25,1mm x 25mm (Figure 1), the left carotid axis appeared free from calcific or stenotic plaque. In addition no obstructive or aneurysmal lesions of the contralateral carotid artery were detected.
Intraoperative view: aneurysm at the origin of the right ICA
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SCM muscle (Figure 2). Simple proximal and distal arterial clamping after systemic administration of heparin (at 100 IU/kg body weight) was used during aneurysm repair.
Intraoperative view: final result: end to end suture after total excision of the aneurysm
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After aneurysmectomy end-to-end anastomosis of the ICA was performed because the distal carotid artery was significantly elongated and was of sufficient length (Figure 3).