Article
Extracranial-intracranial bypass surgery followed by endovascular carotid artery occlusion as a multimodal concept to treat a giant internal carotid artery aneurysm in a patient suffering from Ehlers-Danlos disease: A case report
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Published: | April 28, 2011 |
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Objective: After reviewing literature, it was found that there is extremely little data on the surgical treatment of aneurysms in patients suffering from Ehlers-Danlos disease. The purpose of the present case-report is to present a feasible combined surgical and endovascular strategy in a patient suffering from Ehlers-Danlos disease.
Methods: In this case report we describe a successful interdisciplinary approach applied to a 42-year-old man with a continuously growing extracranial giant aneurysm of the right internal carotid artery (ICA) suffering from Ehlers-Danlos disease. An additional review of literature is provided.
Results: A 42-year-old man was admitted to our department with a continuously growing extracranial giant aneurysm of the right ICA with approximately 91.9 mm in diameter. Based on an interdisciplinary decision-making process, the first step was to perform a double-barrelled extra-intracranial bypass (STA-MCA) because the preoperative balloon occlusion test (BTO) was negative. Second the aneurysm was trapped endovascularly by coiling. The patient tolerated both interventions without any deficits; the trapped aneurysm was punctured twice to achieve a cosmetically good result. To the best of our knowledge after reviewing the literature, this is the first report on a patient suffering from a giant ICA aneurysm due to Ehlers-Danlos disease, who was treated successfully in a combined surgical and endovascular approach.
Conclusions: The present case report described a possible therapeutic strategy in a patient suffering from a giant ICA aneurysm based on Ehlers-Danlos disease, who was succesfully treated with a combined surgical and endovascular approach.