Autologous repair of an internal carotid artery aneurysm by resection, caliber reduction, and external mesh tube reinforcement in a 9-year-old boy Nestoras.

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Autologous repair of an internal carotid artery aneurysm by resection, caliber reduction, and external mesh tube reinforcement in a 9-year-old boy Nestoras Papadopoulos, MD, Cornelius Klein, MD, Koray Ak, MD, Anton Moritz, PhD Journal of Vascular Surgery Volume 46, Issue 6, Pages 1280-1282 (December 2007) DOI: 10.1016/j.jvs.2007.07.036 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Angiography shows a large aneurysm of the left internal carotid artery located between its origin and the base of the skull. Parts of the aneurysm wall appear to be irregular. Most probably this is due to the rough inner surface and may be aggravated by flow phenomena in the preoperative diagnostics. During surgery, no thrombus was found adherent to the aneurysm wall. Journal of Vascular Surgery 2007 46, 1280-1282DOI: (10.1016/j.jvs.2007.07.036) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative view shows end-to-end anastomosis of the proximal and distal segments of the left internal carotid artery and reposition of the polyester mesh tube over the anastomosis to prevent later redilation. Journal of Vascular Surgery 2007 46, 1280-1282DOI: (10.1016/j.jvs.2007.07.036) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Follow-up magnetic resonance angiography shows normal internal carotid artery morphology and flow after reconstruction. Journal of Vascular Surgery 2007 46, 1280-1282DOI: (10.1016/j.jvs.2007.07.036) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions