Document Detail

Mycotic aneurysm of the extracranial carotid artery: a case report and review of the literature.
MedLine Citation:
PMID:  21618857     Owner:  NLM     Status:  In-Process    
Aneurysm of the extracranial carotid artery is a rare condition; mycotic aneurysms are even less common. They always need surgical treatment to prevent possible rupture, embolisation or death. The literature before 1980 mentions ligation as the only treatment for mycotic aneurysms of the carotid artery, obviously with a high morbidity and mortality rate. We describe an 85-year-old male with a left carotid artery mycotic aneurysm. He presented with a history of Transient Ischaemic Attack (TIA) four weeks after a gastrointestinal infection. Resection of the aneurysm and interposition with autologous vein was performed. Escherichia coli was isolated from the excised tissue. Primary resection of the aneurysm with autologous vein interposition, in association with prolonged antibiotic therapy, is the preferred strategy. Prompt diagnosis and aggressive treatment is essential to prevent serious complications.
S Martens; R Beelen; I Degrieck
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  111     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-05-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  97-9     Citation Subset:  IM    
Department of cardiovascular and thoracic surgery OLV Clinic, Aalst, Belgium.
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