Late presentation of an infected carotid patch as a superficial wound nodule.
BACKGROUND
Infection of a vascular patch is an uncommon complication of carotid endarterectomy.


METHODS
Case report and review of the pertinent English-language literature.


METHODS
A 71 year-old woman with a carotid patch infection presented with a superficial wound nodule and no false aneurysm. Diagnosis thus was delayed but was confirmed eventually with magnetic resonance imaging. Excision and saphenous vein bypass was successful.


CONCLUSIONS
The rare complication of infection of a polyester vascular patch is described with recommendations for early diagnosis and definitive therapy.
Department of Vascular Surgery, Worcester Royal Hospital, Worcester, United Kingdom.
Mohammed
M
Nayeemuddin
Ricky Harminder
RH
Bhogal
Nicholas
N
Hickey
D000368:Aged; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011091:Polyesters / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000000981:diagnostic imaging*; D011859:Radiography
D011091:Polyesters