Mycotic pseudoaneurysm of the common carotid artery: an unusual neck lump

Bilateral common carotid artery mycotic aneurysms in the setting of intravenous drug abuse

“… 3 , 7 , 8 Both intra- and extracranial mycotic carotid aneurysms have been associated with dental infections, foreign bodies, endocarditis, and IVDA. 9 , 10 The common bacterial organisms have included S. aureus (most common), Streptococcus , Salmonella , Aspergillus , Pseudomonas , and Bacteroides . 3 , 7 , 11 …”

“…Previous reports have described debridement of the infected tissue with reconstruction using autologous vessels, synthetic prostheses, and allografts. 3 , 10 , 11 , 14 However, the optimal approach remains unclear, given the rarity of this condition. 15 …”

Mycotic internal carotid artery pseudoaneurysm secondary to Mycobacterium tuberculosis

“…Mycotic carotid artery aneurysms, both intracranial and extracranial, are highly unusual lesions and have been associated with bacterial endocarditis, intravenous drug abuse, dental infection, ingested foreign bodies, and bacterial sinusitis. 1 , 10 , 11 , 12 , 13 The usual causative organisms of mycotic aneurysms include Staphylococcus aureus , Escherichia coli , and Salmonella species, although Streptococcus and Klebsiella species have also been implicated. 1 , 2 , 3 , 14 , 15 , 16 Although historically more prevalent, M tuberculosis has been a rare causative pathogen in the formation of mycotic carotid aneurysms for the last century, with only four previous cases reported in literature.…”

“…Mycotic carotid aneurysms are associated with high morbidity and mortality, with potential complications, including rupture and fatal hemorrhage, fistulation, airway compromise, stroke, cranial nerve palsies, and intracerebral abscesses by hematogenous metastases. 1 , 2 , 10 , 16 , 18 , 19 , 21 In patients with an active suppurative infection in the neck, airway edema and compromise may be encountered; therefore, the careful induction of anesthesia and airway management are mandatory. The limited reports of mycotic carotid artery pseudoaneurysms in the literature uniformly support the combined strategy of antibiotic therapy and prompt surgical management.…”

Challenges in Managing Massive Neck Pseudoaneurysm

“…Pseudoaneurysm is a false aneurysm, as it does not have all the layers of arterial wall. 1 It can be of spontaneous, infective, traumatic, or neoplastic etiology. 2 Pseudoaneurysms in the neck present early with obvious swelling and can have the following symptoms: disfigurement, change in voice, difficulty in swelling, and limited neck mobility.…”