Recurrent pseudoaneurysm after carotid endarterectomy

Abstract

Pseudoaneurysms and patch infections are known complications of carotid endarterectomy with patch angioplasty. Although they are rare occurrences, they carry high morbidity and almost uniformly require surgical intervention. Infectious pathogens are often gram-positive bacteria, most commonly Staphylococcus species, whereas gram-negative infections are less frequently observed. We present a case of recurrent pseudoaneurysm in a patient who had a carotid endarterectomy with bovine pericardial patch angioplasty complicated by Pasteurella multocida infection. This case demonstrates the need for recognition and consideration of a broad differential of pathogens in evaluating and treating vascular infections.

Endarterectomía vs injerto endovascular en pacientes con estenosis de la arteria carótida interna

“…La EACI representa una condición médica de considerable relevancia clínica y epidemiológica debido a su asociación directa con eventos cerebrovasculares isquémicos, que a menudo resultan en discapacidad significativa o incluso la muerte (6,7). A lo largo de los años, dos enfoques terapéuticos principales han surgido para abordar esta patología: la endarterectomía carotídea y el injerto endovascular carotídeo (8). Sin embargo, la elección entre estos dos procedimientos presenta un desafío significativo para médicos y pacientes, ya que ambos tienen ventajas y desventajas inherentes, y la toma de decisiones debe basarse en una evaluación cuidadosa de los riesgos y beneficios individuales.…”

A Rare Case of Bicuspid Aortic Valve With Recurrent Endocarditis Complicated by an Aortic Root Pseudoaneurysm

“…Pseudoaneurysm is a known complication of cardiac surgical procedures. Despite its rare occurrence, it is associated with high morbidity and almost always necessitates a surgical intervention [1]. Bicuspid aortic valve is a common congenital heart lesion seen in 1%-2% of the population.…”

Trans‐cervical carotid artery stenting associated with open surgical repair of carotid artery pseudoaneurysm

“…Pseudoaneurysms occur postoperatively after a carotid endarterectomy (CEA) with an incidence of 0.5%–1.5% and infection is thought to be a major cause with Staphylococcus epidermidis or Staphylococcus aureus as the most common organism implicated 1 . The risk of rupture, embolization, or compression of cranial nerves means that prompt intervention is advised.…”