Vasc Spec Int.  2018 Jun;34(2):48-50. 10.5758/vsi.2018.34.2.48.

Ruptured Mycotic Aneurysm of the Common Carotid Artery: A Case Report

• Kim DI
• Park BS
• Kim DH
• Kim DJ
• Jung YJ
• Lee SS
• Jung HJ

• KMID: 2416382
• DOI: http://doi.org/10.5758/vsi.2018.34.2.48

Abstract

Mycotic aneurysms of the common carotid artery (CCA) are very rare and warrant surgical treatment to prevent rupture and death. A 89-year-old man who complained of a sore throat and swelling of the right side of neck. He had no history of trauma or neck infection. Physical examination revealed hard and pulsatile mass. Computed tomography showed initially pseudoaneurysm rupture on the right CCA with surrounding inflammation. The emergency operation revealed mycotic aneurysm rupture with CCA necrosis and was successfully done by wide debridement and carotid artery resection with interposition bypass. The resected tissue and blood culture grew growth of Staphylococcus aureus group. We report a rare case of mycotic aneurysm of right CCA that treated by bypass interposition.

Keyword

Mycotic aneurysm; Carotid artery; Carotid artery aneurysm

MeSH Terms

Aged, 80 and over
Aneurysm, False
Aneurysm, Infected*
Carotid Arteries
Carotid Artery, Common*
Debridement
Emergencies
Humans
Inflammation
Neck
Necrosis
Pharyngitis
Physical Examination
Rupture
Staphylococcus aureus