Extra cranial carotid artery aneurysms(ECAA)- 1 year GGH Experience

INTRODUCTION Extracranial carotid artery aneurysms (ECAAs) are quite rare lesions that count for 1 of all peripheral aneurysms and 1.5 of all carotid procedures. We had three cases in past 1 year.MATERIALS AND METHODSAll three were males. Case 1 had LT CCA aneurysm with RT ICA occlusion with LT vocal cord palsy and Horners syndrome. Blood culture grew E.Coli. Case 2 had Lt CCA aneurysm with no neurological deficit. Case 3 had RT CCA aneurysm with HO FNAC performed outside with sudden increase in size of swelling and compression symptoms Procedure Case 1 and 2 underwent aneurysm repair with interposition GSV grafting with shunt. Case 3 underwent CCA,ICA ECA ligation due to pus in the sac. None of them had a major neurological deficit. Conclusion ECAA are difficult to manage. With meticulous planning and good cerebral protection, these patients can be managed without major neurological deficit.