Carotid-carotid bypass as an option in the treatment of infected pseudoaneurysm after prosthetic carotid replacement

Abstract

Development of pseudoaneurysm from an infected carotid prosthetic patch after carotid endarterectomy is extremely rare and is very challenging from the perspective of surgical and medical treatment. This article describes the case of a 65-year-old patient presenting with the signs of wound infection and recurrent bleeding in the region of the right carotid artery. Three years earlier the patient underwent coronary artery bypass grafting and bilateral replacement of carotid arteries with prosthetic tube grafts. Magnetic resonance imaging confirmed the presence of an infected pseudoaneurysm in the region of prosthetic carotid replacement graft. A decision was made to perform retroesophageal carotid-carotid bypass with an autologous venous conduit. © 2013 Elsevier Inc. All rights reserved.