Mycobacterium tuberculosis is a very rare cause of extracranial carotid artery pseudoaneurysm. A 39-year-old man presented with a rapidly increasing neck mass and hoarseness of voice for 15 days. He was on antitubercular treatment for pulmonary tuberculosis. Computed tomography angiography showed a large pseudoaneurysm of the right common carotid artery. Emergency surgery was performed to excise the pseudoaneurysm sac and repair the artery with a Dacron graft. Postoperative angiography showed normal flow in the carotids and cerebral circulation. Histology of the excised tissue was consistent with a tubercular etiology of the pseudoaneurysm.
JebaraVAAcarCDervanianP, et al.
Mycotic aneurysms of the carotid arteries case report and review of the literature.J Vasc Surg1991;
14: 215–219.
2.
LongRGuzmanRGreenbergHSafneckJHershfieldE.Tuberculous mycotic aneurysm of the aorta: review of published medical and surgical experience.Chest1999;
115: 522–531.
3.
AttigahNKulkensSZausigN, et al.
Surgical therapy of extracranial carotid artery aneurysms: long-term results over a 24-year period.Eur J Vasc Endovasc Surg2009;
37: 127–133.
