Mycotic Pseudoaneurysm of Internal Carotid Artery Secondary to Lemierre's Syndrome, How to Do It.

Abstract:

:We report the case of a patient with internal carotid artery (ICA) mycotic pseudoaneurysm secondary to Lemierre's syndrome, urgently treated. A 75-year-old man presented to E.R. with a left swelling lesion of the neck and complaining left visions lost since that morning, fever, hypotension, and dyspnea. Since 15 days before developing symptoms, he had sore throat and odynophagia treated with a broad coverage of antibiotic therapy for presumed streptococcal pharyngitis. Preoperative computed tomography angiography images revealed a circular lesion, involving the common carotid artery, carotid bulb, and the proximal part of the internal and external carotid arteries. A pseudoaneurysm of the ICA was detected, and the jugular vein was compressed. A Cormier carotid vein graft bypass was performed. Lemierre's syndrome is a rare syndrome, but it is rarer the carotid artery pseudoaneurysm secondary to Lemierre's syndrome. Surgical treatment is safe and durable in patients with severe infection involving the neck.

journal_name

Ann Vasc Surg

authors

Benedetto F,Barillà D,Pipitò N,Derone G,Cutrupi A,Barillà C

doi

10.1016/j.avsg.2017.05.026

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

423.e13-423.e17

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(17)30703-3

journal_volume

44

pub_type

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