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March 1961

Cervical Aneurysms and Tumors: Management of Cases Requiring Resection and Restoration of the Carotid Artery

Author Affiliations

From the Department of Surgery, University of Kansas Medical Center, Kansas City, Kan.

Arch Surg. 1961;82(3):435-439. doi:10.1001/archsurg.1961.01300090105022

Aneurysms of the carotid artery are uncommon as compared with their incidence in other major arteries. The major problem in the resection and restoration of arterial continuity relates to cerebral anoxia incident to carotid occlusion. Occlusion of the common carotid artery is followed by cerebral symptoms referable to anoxia in 20 to 30%, according to Pilcher and Thuss.1 A mortality of 7 to 50% following common carotid occlusion was observed by Matas2 and Watson and Silverstone.3

Thompson4 reported 6 aneurysms arising from the bifurcation, internal, or common carotid arteries. Four of these aneurysms were treated by fascia lata or cellophane wrappings. In one of these, arteriorrhaphy and fascia lata wrapping was followed by recurrence. This recurrent aneurysm was resected and replaced with an arterial homograft. A 50-minute occlusion time was needed to restore arterial continuity. There were no neurological sequelae.

Shea, et al.5,6 related 2