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Vol. 53. Núm. 6.
Páginas 431-436 (Enero 2001)
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Vol. 53. Núm. 6.
Páginas 431-436 (Enero 2001)
Acceso a texto completo
Aneurisma gigante de arteria carótida interna extracraneal en un paciente trasplantado de corazón
Giant aneurysm of the extracranial internal carotid artery in a patient with a heart transplant
Aneurisma gigante da artéria carótida interna extra-craniana em doente com transplante cardíaco
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L. Fernández-Alonso1
Autor para correspondencia
lfezalonso@UNAV.es

Angiología y Cirugía Vascular. Clínica Universitaria de Navarra. Avda. Pío XII, 36. E-31008 Pamplona.
Angiología y Cirugía Vascular. Clínica Universitaria de Navarra. Pamplona, Navarra, España.
Información del artículo
Summary

Introduction. Extracranial internal carotid aneurysms are uncommon lesions. The aetiology is nearly always atherosclerotic and they generally occur in men aged between 50 and 60 years old. We have not found any case reported in the literature as having an aneurysm of the internal carotid artery after having had a heart transplant. Clinical case. We report a 70 year old man who had had a heart transplant operation in 1994. He developed an extracranial internal carotid aneurysm, 4.5cm in diameter, which was successfully treated by resection and graft insertion. We discuss aspects of the surgical technique and peri-operative management.

key words:
Aneurysm
Heart transplant
Internal carotid artery
Resumen

Introducció n. Los aneurismas de caró tida interna extracraneal son lesiones poco frecuentes, de etiologí a casi siempre ateroscleró tica y que aparecen generalmente en varones entre los 50 y 60 añ os. No hemos encontrado en la literatura ningú n caso de aneurisma de caró tida interna en un enfermo trasplantado de corazó n. Caso clí nico. Presentamos un paciente de 70 añ os, sometido a trasplante cardí aco en 1994, con un aneurisma de caró tida interna extracraneal de 4,5cm de diá metro tratado con é xito mediante resecció n e interposició n de un injerto. Se discuten algunos aspectos de la té cnica quirú rgica y del manejo pre y postoperatorio.

Palabras clave:
Aneurisma
Caró tida interna
Trasplante cardí aco
Resumo

Introdução. Os aneurismas da arté ria caró tida interna extra-craniana são lesões pouco frequentes, de etiologia quase sempre ateroscleró ica e que aparecem geralmente em homens com idade entre os 50 e os 60 anos. Não encontrá mos na literatura qualquer caso de aneurisma da caró tida interna num doente submetido a transplante cardí aco. Caso clí nico. Apresentamos um doente com 70 anos de idade, submetido a transplante cardí aco em 1994, com um aneurisma da caró tida interna extra-craniana de 4,5cm de diâmetro tratada com êxito por dissecção e interposição de um enxerto. Discutem-se alguns aspectos da té cnica cirú rgica e do tratamento pré e pó s-operató rio.

Palavras chave:
Aneurisma
Caró tida interna
Transplante cardí aco
El Texto completo está disponible en PDF
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Copyright © 2001. SEACV
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