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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 internal carotid artery

Augustin Pirvu1, Claude Bouchet, Federico Manuel Garibotti

  • 1Department of Vascular Surgery, University Hospital Grenoble, Grenoble, France. pb_augustin@yahoo.com

Annals of Vascular Surgery
|July 25, 2013
PubMed
Abstract

Insights

Infected aneurysms of the extracranial carotid arteries, though rare, require prompt surgical intervention. This review details a case of Salmonella-infected carotid bifurcation aneurysm treated with excision, ligation, and bypass.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases

Background:

  • Infected aneurysms of extracranial carotid arteries are rare vascular emergencies.
  • This article reviews the literature and presents a case of Salmonella enteritidis-induced mycotic aneurysm.

Observation:

  • A mycotic aneurysm at the carotid bifurcation was identified with arterial wall infection.
  • The patient underwent surgical treatment including aneurysm excision and carotid bypass.

Findings:

  • The incidence of infected extracranial carotid aneurysms remains low, with about 20 cases per decade.
  • Analysis of approximately 100 reported cases reveals insights into the condition's origins and evolving surgical management.

Implications:

  • Prompt diagnosis and surgical management are crucial for infected carotid aneurysms.
  • Understanding the epidemiology and treatment evolution aids in managing these complex cases.

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