Surgical treatment of giant extracranial internal carotid artery aneurysm

Extracranial internal carotid artery aneurysms are rare manifestations but with potential for fatal complication as result of embolization. rupture and local compression. We describe a case of 62 year old woman, obese with history of hypertension, hiperlipidemia, moderate mitral and aortic valve regurg, 4 years post completely resolved stroke. She presented in our hospital with a pulsating cervical tumor.