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Combined endovascular and open operative approach for mycotic carotid aneurysm

Citation:

Tsai, TC, N Barot, R Dalman, and F Mihm. 2010. “Combined endovascular and open operative approach for mycotic carotid aneurysm.” J Vasc SurgJ Vasc SurgJ Vasc Surg 51: 1514-6.

Date Published:

Jun

Abstract:

Mycotic aneurysms of the extracranial carotid artery are rare and warrant surgical intervention. Management involves open and endovascular approaches. We report the case of a 67-year-old woman with an Escherichia coli soft-tissue infection of the right retropharyngeal space and subsequent mycotic carotid aneurysm and thrombosis of the internal jugular vein. The patient presented with a pulsatile mass and right middle cerebral artery stroke. Our surgical management involved coil embolization of the aneurysm to provide for vascular control, with resection of the common carotid artery, internal carotid artery, and extracranial carotid artery branches, along with the internal jugular vein.

Notes:

Tsai, Thomas CBarot, NikhilDalman, RonaldMihm, FrederickengCase Reports2010/03/23 06:00J Vasc Surg. 2010 Jun;51(6):1514-6. doi: 10.1016/j.jvs.2009.12.067. Epub 2010 Mar 20.