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CASE REPORT   

Chirurgia 2018 February;31(1):27-9

DOI: 10.23736/S0394-9508.17.04699-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Intermittent bleeding from a draining neck sinus: a case report

Konstantinos M. NIKOLAKOPOULOS, Chrysanthi P. PAPAGEORGOPOULOU , Spyros PAPADOULAS, Ioannis G. NTOUVAS, Stavros KAKKOS, Ioannis TSOLAKIS

Department of Vascular Surgery, University General Hospital of Patras, Patras, Greece


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Extracranial carotid artery aneurysm is an uncommon but important clinical entity. Carotid aneurysms are extremely rare in comparison with atherosclerotic occlusive disease of the same location. Blunt trauma, dissection, penetrating injury and endarterectomy can result in a carotid pseudoaneurysm. Pseudoaneurysm of the carotid artery is a potential lethal complication related to a high rate of cerebral ischemia. The primary objective of the treatment is to prevent the permanent neurologic deficits that can arise from atheroembolism and thromboembolism. This objective is accomplished by exclusion of the aneurysm from the arterial circulation and restoration of antegrade flow. The choice of therapy must be tailored to the patient and based on the location, size and cause of the aneurysm as well as the overall condition of the patient. Patients with pseudoaneurysms are more likely to undergo endovascular intervention, although open surgical treatment is not contradicted. On this review, authors present a 73-year-old Caucasian male with a carotid artery pseudoaneurysm, after an endarterectomy and patch placement, started with episodes of bleeding from a neck sinus.


KEY WORDS: Carotid artery, common - Aneurysm, false - Endarterectomy - Stroke - Case report

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