Management of a chronic carotid artery pseudoaneurysm.
An 82-year-old female with a history of right carotid endarterectomy with patch closure 12 years prior presents with a pulsatile right neck mass with skin erosion and bleeding. The patient had been previously evaluated but refused the surgical intervention because a median sternotomy was recommended to obtain adequate proximal control. Her aneurysm was successfully repaired using a combination of open and endovascular method. The repair was performed through a right-hand side anterior sternocleidomastoid neck incision, and proximal vascular control was obtained with an 8.5-mm balloon positioned under fluoroscopic guidance via a femoral puncture.
Baker
Aaron C
AC
Department of Surgery, University of California, Davis, California, USA. aaron.baker@ucdmc.ucdavis.edu
Arko
Frank R
FR
Zarins
Christopher K
CK
Lee
Eugene S
ES
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D002404:Catheterization; D002908:Chronic Disease; D005260:Female; D006801:Humans; D020521:Stroke / Q000209:etiology; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures