A case of aneurysm and kinking of the extracranial internal carotid artery

Aneurysms of the extracranial internal carotid arteries are rare. They may provoke symptoms of adjacent neurovascular structure compression, cerebral embolization, or rupture. An 81-year-old woman was found to have a saccular aneurysm of 2.2 cm in diameter in the left internal carotid with concomitant kinking. She underwent resection of the aneurysm and the kinked arterial area, followed by end-to-end anastomosis of the internal carotid artery.