Extracranial Carotid Aneurysms in Young Patients

Theodore, Sanjay; Unnikrishnan, Madathipat; Neelakandhan, Kurur Sankaran

doi:10.1016/j.athoracsur.2005.09.050

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Shunts for cerebral protection are not mandatory. 1 Our second patient had an infective pathology and the presence of necrotic tissue around the CCA would make open repair a technical challenge with adhesions and infiltrated lymph nodes. In young patients endovascular treatment with covered stent's can be used as a bridging method with later surgery after ATT.…”

Section: Discussionmentioning

confidence: 95%

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Tuberculous Aneurysm of Extracranial Carotid Artery

Stephen

Sridhar

Pradhan

et al. 2008

European Journal of Vascular and Endovascular Surgery

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Section: Discussionmentioning

confidence: 95%

“…In the young the commonest cause is Takayasu's arteritis and less commonly the aneurysm is mycotic. 1 The incidence of tuberculosis is high in our environment and has varied presentations. Petrovic et al 2 in their experience found atherosclerosis to be the commonest cause of aneurysm formation.…”

Section: Introductionmentioning

confidence: 99%

Tuberculous Aneurysm of Extracranial Carotid Artery

Stephen

Sridhar

Pradhan

et al. 2008

European Journal of Vascular and Endovascular Surgery

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“…Mycotic aneurysms account for approximately 2.5 ~ 4.5% of all intracranial aneurysms and are unique in their natural history, pathologic findings, location and common multiplicity 6)8)26)27)34). Their spontaneous rupture mostly results in subarachnoid and intracerebral hemorrhage, accompanied by morbidity and mortality as high as 60 ~ 90% in older case reports, and 12 ~ 32% in more recent reports 17)29). Ruptured mycotic aneurysm manifesting as subdural hematoma (SDH) is extremely rare; only 10 cases have been reported 2-4)13-15)20)26)31)34).…”

Section: Introductionmentioning

confidence: 99%

Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma

Lee

Park

Choi

et al. 2013

J Cerebrovasc Endovasc Neurosurg

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Mycotic aneurysms are rare inflammatory neurovascular lesions. Ruptured mycotic aneurysm manifesting as subdural hematoma is extremely rare. A 72-year-old male patient was admitted to our hospital with headache and drowsiness. Computer tomography (CT) of brain and CT angiography revealed subdural hematoma and an aneurysm located at the M4 segment of the left middle cerebral artery (MCA). Cerebral angiogram revealed 2 aneurysms; one located at the left distal MCA and the other at the bifurcation of left MCA. Laboratory studies showed leukocytosis and elevated inflammatory factors. The patent was treated with antibiotic therapy for 4 weeks. The follow-up CT and cerebral angiography showed that the mycotic aneurysm was completely resolved, and the patient was nearly free of symptoms.

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Mycotic aneurysm of internal carotid artery — A case report

Raghuram

John

Balaji

et al. 2008

Indian J Thorac Cardiovasc Surg

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A 7-year-old boy presented to our Ear Nose and Throat (E.N.T) Department with a painful bleeding swelling in the throat. He gave history of fever of 10 days duration and bilateral painful parotid swelling. The swelling on the right side subsided within a few days but the one on the left side progressively increased and produced a painful bulge inside the throat. It ruptured on the day of presentation to our hospital and bled considerably. On examination he was febrile, anxious and pale. There was a diffuse painful pulsatile swelling in the left parotid and submandibular regions. The examination of the throat revealed a bulge in left lateral pharyngeal wall with a huge clot sitting at the summit. A computed tomography (CT) Scan of the neck ( Fig. 1) was done which revealed a large parapharyngeal lesion with encasement of internal carotid artery. Small out pouching of carotid wall was seen. An emergency carotid angiogram was done to confirm the diagnosis (Fig. 2). Since he had evidence of infection and active bleeding, he was taken up for emergency carotid ligation. Under general anesthesia a curved incision was made in the neck and the proximal control was obtained. The incision was extended upwards and superficial lobe and deep lobe of parotid gland were excised piecemeal taking care to preserve the facial and hypoglossal nerves and expose the internal carotid artery high up in the neck disappearing into the temporal bone. The distal Abstract Mycotic aneurysms are rare entities. Most of them occur in aorta or femoral artery. Mycotic aneurysm of extracranial carotid artery has been reported quite infrequently in the literature. Surgical intervention is mandatory. The ideal treatment is to excise the aneurysm and restore the circulation by interposition grafting by saphenous vein. However the limited access to extracranial internal carotid artery and the presence of infection at that site may not always allow the ideal management. Ligation of the aneurysm is a practical lifesaving method in such cases. We are presenting our experience with one such patient who presented with a painful bleeding swelling in the throat and was successfully treated with ligation of internal carotid artery. (Ind J Thorac Cardiovasc Surg 2008; 24: 145-147)

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Extracranial Carotid Aneurysms in Young Patients

Cited by 4 publications

References 3 publications

Tuberculous Aneurysm of Extracranial Carotid Artery

Tuberculous Aneurysm of Extracranial Carotid Artery

Ruptured Mycotic Aneurysm of the Distal Middle Cerebral Artery Manifesting as Subacute Subdural Hematoma

Mycotic aneurysm of internal carotid artery — A case report

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