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Case Reports
. 2019 Jan;34(1):70-73.
doi: 10.5001/omj.2019.12.

Dissecting Aneurysm of the Internal Carotid Artery as a Complication of Facial Bone Trauma

Sami Tahir Al Kindi  1 , Abdulaziz Bakathir  2 , Faisal Al Azri  3 , Khalifa Al Wahaibi  4
Affiliations
Case Reports

Dissecting Aneurysm of the Internal Carotid Artery as a Complication of Facial Bone Trauma

Sami Tahir Al Kindi et al. Oman Med J. 2019 Jan.

Abstract

The involvement of the internal carotid artery in dissecting aneurysm is rarely reported in the literature and may occur as a complication of trauma, surgery, and other medical conditions. We report a case of a 22-year-old male who was involved in a motor vehicle accident with associated multiple orthopedic and maxillofacial fractures. During surgical management, the patient was incidentally diagnosed with a dissecting aneurysm involving the right internal carotid artery.

Keywords: Carotid Artery, Internal; Case Report; Dissecting Aneurysm; Facial Bones; Oman.

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Figures

Figure 1
Figure 1
Three-dimensional facial bone computed tomography imaging showing Le Fort I maxillary fracture, medially displaced and fractured right condyle, and dentoalveolar fracture involving the lower anterior segment.
Figure 2
Figure 2
Selective angiogram of the right internal carotid artery (ICA) showing focal dissecting aneurysm of the extracranial part of the right ICA (arrows).
Figure 3
Figure 3
Intraoperative surgical exposure demonstrating dissecting aneurysm of the right internal carotid artery (arrow). Note the close anatomical relation of the lesion to the base of skull.
Figure 4
Figure 4
Post-right internal carotid artery stenting angiogram showing resolution of a dissecting aneurysm.
See this image and copyright information in PMC

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