Document Detail

Pseudoaneurysm formation following carotid endarterectomy: two case reports and a literature review.
MedLine Citation:
PMID:  16732444     Owner:  NLM     Status:  MEDLINE    
Arterial pseudoaneurysms lack all three layers of the arterial wall and are therefore prone to enlargement. They are common after injuries to the artery in the form of blunt trauma, puncture, or prior surgery. They present frequently with swelling, pain, thrombosis, and rupture and occasionally with infection. Options for repair include primary arteriorrhaphy, partial excision with patch angioplasty, and total excision with interposition grafting. We present two cases of pseudoaneurysm following carotid endarterectomy: one with infection, and one with sterile enlargement. A review of the literature suggests that pseudoaneurysm formation following carotid endarterectomy is an uncommon event, and infection of these lesions is even less likely. There appears to be no difference in incidence whether or not the patient had closure of the arteriotomy with a patch angioplasty. The principles of repair include removal of all infected tissue, reconstruction with autogenous vein if possible, and vascularized flap coverage.
Roman A Litwinski; Kenneth Wright; Peter Pons
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2006-05-27
Journal Detail:
Title:  Annals of vascular surgery     Volume:  20     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-12-13     Completed Date:  2007-02-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  678-80     Citation Subset:  IM    
Division of Vascular Surgery, Harbor-UCLA Medical Center, Torrance, CA 90509, USA. rlitwinski@hotmail.ccom
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MeSH Terms
Aneurysm, Infected / etiology*,  radiography
Carotid-Cavernous Sinus Fistula / etiology*,  radiography
Endarterectomy, Carotid / adverse effects*

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

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