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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
18:50

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment

Published on: September 25, 2009

[Mycotic aneurysm of the extracranial internal carotid artery]

D Dequanter1, P Michel, P De Wilde

  • 1Service de chirurgie vasculaire, Hôpital Erasme, 808, Route de Lennik, 1070 Bruxelles. didier.dequanter@wanadoo.be

Journal Des Maladies Vasculaires
|August 12, 2003
PubMed

Insights

Extracranial internal carotid artery aneurysms are rare, presenting as pulsatile neck masses. This case highlights successful surgical treatment for a mycotic aneurysm in an immunosuppressed patient.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Immunology

Background:

  • Extracranial internal carotid artery aneurysms are uncommon and challenging to diagnose.
  • Symptoms often include a pulsatile neck mass, tenderness, and fever, indicating potential infection.
  • These aneurysms can lead to significant patient morbidity if not managed effectively.

Observation:

  • A case of a mycotic aneurysm in the extracranial carotid artery of an immunosuppressed patient is presented.
  • The patient exhibited typical symptoms of an enlarging pulsatile neck mass with fever.
  • Diagnosis proved difficult, underscoring the need for a high index of suspicion.

Findings:

  • The mycotic aneurysm was successfully treated with surgical intervention.
  • The surgical approach involved wide excision of the affected artery segment.
  • Reconstruction was achieved using saphenous vein patch angioplasty, restoring blood flow.

Implications:

  • This case demonstrates the feasibility of surgical management for complex extracranial carotid artery aneurysms.
  • Early and accurate diagnosis, coupled with expert surgical intervention, is crucial for favorable outcomes.
  • Identifying and treating the underlying source of infection is paramount in managing mycotic aneurysms.

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