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Concomitant carotid stenosis with cerebral aneurysm is a rare entity with an incidence reported to be about 1.9-3.2%. The effect of carotid revascularization on pre-existing cerebral aneurysm, along with risk factors for aneurysmal rupture, is not fully understood. We report a 61-year-old man who underwent carotid endarterectomy (CEA) for symptomatic carotid stenosis, and 6 days post-operatively the patient suffered a fatal subarachnoid hemorrhage from the rupture of a known basilar artery aneurysm. This rare but potentially fatal complication of a ruptured cerebral aneurysm after CEA warrants a discussion on the management of concomitant pathology.

Paget-Schroetter syndrome (PSS) is an uncommon, though well-documented, cause of upper extremity deep vein thrombosis. Percutaneous mechanical thrombectomy and catheter-directed lysis of clot burden is considered an effective treatment for minimizing and removing deep vein thrombi, although several uncommon life-threatening sequelae may occur. Herein, we present a case of an otherwise healthy 19-year-old man who developed acute pancreatitis and kidney injury following successful treatment for PSS and discuss the possible inciting factors for pancreatic insult.