Recurrent pseudoaneurysm after carotid endarterectomy

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 Staphy...

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Main Authors: Vitali Azouz, MD, Joseph N. Fahmy, BS, Craig Kornbau, MD, Drazen Petrinec, MD
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428719300103
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author Vitali Azouz, MD
Joseph N. Fahmy, BS
Craig Kornbau, MD
Drazen Petrinec, MD
author_facet Vitali Azouz, MD
Joseph N. Fahmy, BS
Craig Kornbau, MD
Drazen Petrinec, MD
author_sort Vitali Azouz, MD
collection DOAJ
description 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. Keywords: Carotid endarterectomy, Infection, Bovine patch, Angioplasty, Pseudoaneurysm, Complication
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spelling doaj.art-8f17828865dc4fd390521e12c51b94132022-12-21T22:42:31ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-06-0152128131Recurrent pseudoaneurysm after carotid endarterectomyVitali Azouz, MD0Joseph N. Fahmy, BS1Craig Kornbau, MD2Drazen Petrinec, MD3Department of Surgery, Summa Health, Akron, Ohio; Correspondence: Vitali Azouz, MD, Department of Surgery, Summa Health System, 525 E Market St, PO Box 2090, Akron, Ohio 44304Northeast Ohio Medical University, Rootstown, OhioDepartment of Surgery, Summa Health, Akron, OhioDepartment of Surgery, Summa Health, Akron, OhioPseudoaneurysms 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. Keywords: Carotid endarterectomy, Infection, Bovine patch, Angioplasty, Pseudoaneurysm, Complicationhttp://www.sciencedirect.com/science/article/pii/S2468428719300103
spellingShingle Vitali Azouz, MD
Joseph N. Fahmy, BS
Craig Kornbau, MD
Drazen Petrinec, MD
Recurrent pseudoaneurysm after carotid endarterectomy
Journal of Vascular Surgery Cases and Innovative Techniques
title Recurrent pseudoaneurysm after carotid endarterectomy
title_full Recurrent pseudoaneurysm after carotid endarterectomy
title_fullStr Recurrent pseudoaneurysm after carotid endarterectomy
title_full_unstemmed Recurrent pseudoaneurysm after carotid endarterectomy
title_short Recurrent pseudoaneurysm after carotid endarterectomy
title_sort recurrent pseudoaneurysm after carotid endarterectomy
url http://www.sciencedirect.com/science/article/pii/S2468428719300103
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