Abstract
False aneurysm following carotid endarterectomy seldom occurs when the arteriotomy is closed primarily with durable polyester suture material. A case of pseudoaneurysm caused by infection is reported. The patient required re- exploration for acute hematoma postoperatively with insertion of a Penrose drain. Resection of the aneurysm and interposition of a saphenous vein graft resulted in no neurological complications.
Get full access to this article
View all access options for this article.
References
1.
Ehrenfeld WK
,
Hays RJ
: False aneurysm after carotid endarterectomy . Arch Surg
104 :288 -291 , 1972 .
2.
Chaudhary MY
,
Puljic S.
,
Clauss RH
: Bilateral false aneurysms after carotid endarterectomy . Neuroradiol
18 :215 -216 , 1979 .
3.
Thompson JE
: Complication of carotid endarterectomy and their prevention . World J Surg
3 :155 -165 , 1979 .
4.
Buscaglia LC
,
Moore WS
,
Hall AD
: False aneurysm after carotid endarterectomy (letter) . JAMA
209 :1529 , 1969 .
5.
Smith RB
, III,
Perdue GD
, Jr,
Collier RH
, et al: Postoperative false aneurysms of the carotid artery . Amer Surg
36 :335 -341 , 1970 .
6.
Hertzer NR
: Postoperative management and complications of extracranial carotid reconstruction . In
Rutherford RR
, editor: Vascular Surgery . Philadelphia , 1984 , WB Saunders Co. , pp. 1300 -1316 .
7.
Mora W.
,
Hunter G.
,
Malone J.
: Wound infection following carotid endarterectomy . J Cardiovasc Surg
22 :47 -49 , 1981 .
8.
Giannotta SL
,
Dicks RE
, III,
Kindt GW
: Carotid endarterectomy ; technical improvements . Neurosurg
7 :309 -312 , 1980 .