Document Detail


Pseudoaneurysm after patch-free carotid bifurcation endarterectomy: a case report.
MedLine Citation:
PMID:  17942861     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this report is to present the case of a 59-year-old man affected by multivessel coronary artery disease and sterile pseudoaneurysm of the right carotid bifurcation presenting as a pulsating neck mass 1 month after patch-free carotid endarterectomy. The surgical approach included median sternotomy and incision parallel to the anterior margin of the right sternocleidomastoid muscle. The pseudoaneurysm was excised after control of the brachiocefalic trunk and insertion of a Pruit-Inahara shunt, and the carotid vessels were directly sutured without using any prosthetic or autologous material. Concomitant coronary bypass grafting was performed. The postoperative course was uneventful and there was no evidence of recurrence of pseudoaneurysm at 6-month follow-up. On the basis of this experience and of pertinent literature, the options for the management of such rare entities are discussed.
Authors:
Carlo Maria De Filippo; Pietro Modugno; Giuseppe Nasso; Carlo Canosa; Paola Spatuzza; Nicola Testa; Eugenio Calvo; Matteo Giuffreda; Amedeo Anselmi; Francesco Alessandrini
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  41     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2007 Oct-Nov
Date Detail:
Created Date:  2007-10-18     Completed Date:  2008-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  448-51     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Centro di Ricerca e Formazione ad Alta Tecnologia nelle Scienze Biomediche, Catholic University, Campobasso, Italy.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Carotid Artery Injuries / complications,  etiology*,  pathology,  surgery
Carotid Stenosis / surgery*
Coronary Artery Bypass
Coronary Artery Disease / complications,  surgery
Endarterectomy, Carotid / adverse effects*
Humans
Magnetic Resonance Angiography
Male
Middle Aged
Suture Techniques
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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