Department of Vascular Surgery, Sandro Pertini Hospital, Rome, Italy
Dr. Massimiliano Millarelli is currently affiliated with the Department of Vascular Surgery, Sandro Pertini Hospital, Rome, Italy. Dr. Massimiliano Millarelli area of expertise is Surgery, Vascular Disease
Case Report
Emergency Endovascular Treatment of Recurrent Internal Carotid Artery False Aneurysm Complicated By Carotid-Cutaneous Fistula and Life-Threatening Bleeding
Author(s): Francesco De Santis*, Roberto Chiappa, Cristina Margot Chaves and Massimiliano Millarelli
Background: Carotid pseudoaneurysms can generally be the result of arterial wall degeneration developed after
carotid endarterectomy, previous spontaneous carotid dissection, post-traumatic neck injuries, non-vascular
procedures and, rarely, infections. The ideal surgical management of extracranial carotid artery false aneurysms is
still controversial and treatment should be tailored to the aneurysm’s aetiology, anatomy and presentation.
Case presentation: We describe the case of an 81-year-old man presented with an enlarged pulsatile cervical mass
coupled with a small cutaneous fistula, which had developed in roughly 1 year. He had undergone several carotid
operations over the last 15 years (endarterectomy, venous-patch-angioplasty for restenosis and bovine-pericardial
patch-angioplasty for a pseudoaneurysm).
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