Recurrent pseudoaneurysm after carotid endarterectomy
Angioplasty; aortic endograft infection; Bovine patch; Carotid endarterectomy; Complication; experience; false aneurysm; Infection; pasteurella-multocida; patch infection; Pseudoaneurysm; Surgery
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.
Azouz V; Fahmy J N; Kornbau C; Petrinec D
Journal of Vascular Surgery Cases and Innovative Techniques
2019
2019-06
<a href="http://doi.org/10.1016/j.jvscit.2018.12.010" target="_blank" rel="noreferrer noopener">10.1016/j.jvscit.2018.12.010</a>
Recurrent pseudoaneurysm after carotid endarterectomy
Angioplasty; Bovine patch; Carotid endarterectomy; Complication; Infection; Pseudoaneurysm
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.
Azouz Vitali; Fahmy Joseph N; Kornbau Craig; Petrinec Drazen
Journal of Vascular Surgery Cases and Innovative Techniques
2019
2019-06
<a href="http://doi.org/10.1016/j.jvscit.2018.12.010" target="_blank" rel="noreferrer noopener">10.1016/j.jvscit.2018.12.010</a>