A giant aneurysm of extracranial carotid artery presenting with hoarseness: A case report and review of literature

Özet

A 42-year-old female was admitted to our hospital with progressively enlarging pulsatile mass in the left lateral cervical region, hoarsenessand pain radiating to left ear. Magnetic resonance angiography demonstrated a left internal carotid aneurysm, which extended from thecarotid bifurcation nearly to the skull base, and a normal internal carotid artery (ICA) segment was found before the artery entered into thecarotid canal. The aneurysmal segment was removed with resection of the bony structures, and direct arterial reconstruction was performedwithout any tension or damage to the cranial nerves. Pathological examination showed a true aneurysm with atheromatous changes follow-upafter 2 years revealed a patent ICA.