A 39-year-old male underwent an attempted right internal jugular vein cannulation during which the right common carotid artery was punctured. Three months later, the patient presented with dysphagia and breathlessness. Carotid angiography failed to demonstrate the pseudoaneurysm because of intra-aneurysmal clots but it was partially delinated by a direct puncture arteriogram of the swelling. At surgery a pseudoaneurysm measuring 8 × 6 cm was excised and the carotid artery was repaired with a saphenous vein patch.
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