Extracranial internal carotid artery aneurysm: Surgical approach

Extracranial internal carotid artery (EICA) aneurysms constitute a significant clinical concern and are exceedingly rare.The most concerning major complications are rupture and thromboembolism.Treatment options for extracranial carotid artery aneurysms include open surgery, endovascular interventions, and nonoperative approaches.Although endovascular interventions have gained popularity, surgical treatment: Complete removal of the aneurysm sac and arterial reconstruction still remains relevant.In this article, we will examine a patient with an EICA aneurysm who has been followed up with medical treatment for years.We will discuss the successful interposition of the aneurysm sac with a polytetrafluoroethylene graft following aneurysmectomy.