Background: Surgical treatment for symptomatic extracranial carotid artery aneurysms should be encouraged because of their high recurrence rates.
Case description: A 55-year-old man presented with progressive right-sided hemiparesis and dysarthria. Computed tomography angiography revealed the cause of his repeated cerebral infarction was due to the distal emboli from an intra-aneurysmal thrombus of a giant thrombosed aneurysm at the origin of left common carotid artery. Right common carotid artery-saphenous vein graft-left common carotid artery bypass followed by left common carotid artery ligation was successfully performed.
Conclusions: Carotid-carotid bypass followed by common carotid artery ligation is an optional procedure for symptomatic proximal common carotid artery aneurysm.
Keywords: Bypass; Extracranial carotid artery aneurysm; Saphenous vein graft.
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