Successful surgical treatment of posttraumatic intracavernous arterial aneurysm using a wide-angle extra-intracranial autoarterial shunt

OBJECTIVE. Present the experience of surgical treatment of posttraumatic arterial aneurysm of the cavernous part of the right internal carotid artery, manifested by profuse nosebleeds.

MATERIALS AND METHODS. The work is based on a retrospective analysis of disabling an intracavernous arterial aneurysm from the cerebral bloodstream by trapping surgery after preliminary creation of a wide-angle anastomosis between the right external carotid artery and the right middle cerebral artery using an autoarterial graft. The functioning of the created extra-intracranial wide-light anastomosis and the patient›s clinical condition in the immediate postoperative period were evaluated.

RESULTS. The main parameters studied were: the presence of repeated nosebleeds, the presence of focal neurological symptoms in the patient in the postoperative period, and the functional state of broad-spectrum extra-intracranial anastomosis.

CONCLUSIONS. The possibility of successful treatment after open surgery in a patient with an arterial aneurysm of the cavernous part of the right internal carotid artery is presented. The operation made it possible to switch off the aneurysm from the cerebral bloodstream together with the internal carotid artery without the occurrence of cerebral ischemia after preliminary creation of a wide-angle anastomosis between the right external carotid artery and the middle cerebral artery using an autoarterial graft.

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