Pseudoaneurysm after patch-free carotid bifurcation endarterectomy: a case report.
The purpose of this report is to present the case of a 59-year-old man affected by multivessel coronary artery disease and sterile pseudoaneurysm of the right carotid bifurcation presenting as a pulsating neck mass 1 month after patch-free carotid endarterectomy. The surgical approach included median sternotomy and incision parallel to the anterior margin of the right sternocleidomastoid muscle. The pseudoaneurysm was excised after control of the brachiocefalic trunk and insertion of a Pruit-Inahara shunt, and the carotid vessels were directly sutured without using any prosthetic or autologous material. Concomitant coronary bypass grafting was performed. The postoperative course was uneventful and there was no evidence of recurrence of pseudoaneurysm at 6-month follow-up. On the basis of this experience and of pertinent literature, the options for the management of such rare entities are discussed.
De Filippo
Carlo Maria
CM
Department of Cardiovascular Surgery, Centro di Ricerca e Formazione ad Alta Tecnologia nelle Scienze Biomediche, Catholic University, Campobasso, Italy.
Modugno
Pietro
P
Nasso
Giuseppe
G
Canosa
Carlo
C
Spatuzza
Paola
P
Testa
Nicola
N
Calvo
Eugenio
E
Giuffreda
Matteo
M
Anselmi
Amedeo
A
Alessandrini
Francesco
F
D000714:Anastomosis, Surgical; D020212:Carotid Artery Injuries / Q000150:complications / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery*; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D016896:Treatment Outcome