Mycotic cervical carotid artery aneurysms: a case report and review of the literature.
Mycotic cervical carotid artery aneurysms are rare. We report one case successfully treated by resection and reconstruction with a saphenous vein interposition graft. A review of the English world literature revealed 22 additional cases. Principles of management include appropriate and timely antibiotic use, resection of the aneurysm, debridement of all infected tissue, and restoration of arterial continuity with autogenous tissue through uninvolved tissue planes.
Jones
T R
TR
Department of Surgery, Louisiana State University, Baton Rouge.
Frusha
J D
JD
D000368:Aged; D000785:Aneurysm, Infected / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000601:surgery*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D007710:Klebsiella Infections / Q000601:surgery*; D007711:Klebsiella pneumoniae; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D011468:Prostatectomy