PMID: 6986122Jan 1, 1980Paper

Vein reconstruction of a mycotic internal carotid aneurysm

Annals of Surgery
R C Monson, R H Alexander

Abstract

Carotid aneurysms are an extremely rare entity; mycotic carotid aneurysms are even more uncommon. Most articles in the past have advocated ligation as treatment of mycotic carotid aneurysms due to the dangers of graft placement in an infected field. Unfortunately, stroke occurs in many patients so treated. As the cerebral complications were so high, bypass using autogenous vein and fine monofilament polypropylene sutures is attractive. This technique was used in a patient having a mycotic carotid aneurysm who was referred to the Vascular Service of the Shands Teaching Hospital. Pre- and postoperative antibiotics, resection of the aneurysm, anastomosis in a noninfected area, and long-term oral antibiotics were felt to be other important aspects of the patient's treatment. This individual is well one year after operation without neurological sequelae. This case suggests that if strict operative and therapeutic guidelines are observed, bypass with autogenous vein is a feasible operative alternative in patients having mycotic carotid aneurysms. The risk of this procedure must be carefully weighed against the devastating neurological sequellae that might result with ligation.

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Citations

Dec 1, 2008·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·K K Handa, N B Shunyu
Feb 15, 2000·The British Journal of Surgery·R NairN G Naidoo
Jul 25, 2013·Annals of Vascular Surgery·Augustin PirvuCarmine Sessa
Jul 1, 1984·Journal of Vascular Surgery·S L BrownW F Barker
Oct 1, 1988·Annals of Vascular Surgery·T R Jones, J D Frusha
Jan 1, 1988·The Alabama Journal of Medical Sciences·E J ZampellaR J Brock
Mar 1, 1985·International Journal of Pediatric Otorhinolaryngology·M MauriziA Loschi
Jul 1, 1994·European Journal of Vascular Surgery·P RemyJ P Blampain
Aug 26, 2009·Journal of Vascular Surgery·Christopher J AbularrageGlenn M LaMuraglia
Jul 25, 2009·Vascular and Endovascular Surgery·Jessica Beth O'ConnellTodd Reil
Jun 24, 2017·Annals of Vascular Surgery·Chukwudubem AnibuezePhilip W Stather
Mar 1, 1984·The British Journal of Surgery·L J FergusonJ P Royle
Apr 1, 1993·Tropical Doctor·A K Sharma, C K Gupta
Aug 1, 1991·Journal of Vascular Surgery·V A JebaraA Carpentier
Nov 1, 1991·Annals of Vascular Surgery·P PetrovicV Vukobratov

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