Blood Blister‑like Aneurysm of the Internal Carotid Artery – a Case Report and Review of Literature

Czech version

Authors: J. Mraček ¹; V. Runt ¹; P. Duras ²; V. Přibáň ¹
Authors‘ workplace: LF UK a FN Plzeň Neurochirurgické oddělení ¹; LF UK a FN Plzeň Klinika zobrazovacích metod ²
Published in: Cesk Slov Neurol N 2014; 77/110(3): 373-379
Category: Case Report

Podpořeno MZ ČR – RVO (Fakultní nemocnice Plzeň – FNPl, 00669806).

Overview

Blood blister-like aneurysm is a rare but clinically very important cause of subarachnoid hemorrhage. Since this is a false aneurysm with a very thin and fragile wall, its treatment is associated with high morbidity and mortality. Blood blister-like aneurysms are a diagnostic and therapeutic challenge. We describe a case of ruptured blister aneurysm of the internal carotid artery, initially treated by clipping. Early postoperative re-rupture was treated with microsuturing of the tear of the carotid artery. Late malignant ischemia subsequently developed, in spite of successful reconstruction of the parent artery. The authors review current strategies in the treatment of blood blister-like aneurysms.

Key words:
aneurysm – internal carotid artery – subarachnoid hemorrhage – endovascular treatment

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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