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Ruptured Salmonella Mycotic Aneurysm of the Extracranial Carotid Artery Henry E. Rice, MD, Saman Arbabi, MD, Richard Kremer, MD, David Needle, MD, and Kaj Johansen MD, PhD, Seattle, Washington Mycotic aneurysms of the extracranial carotid artery are rare and difficult to diagnose and can lead to significant medical morbidity. Treatment of these lesions requires expert surgical man- agement and necessitates an assiduous search for an underlying source. We report a case of a ruptured mycotic aneurysm of the cervical carotid artery due to Salmonella infection success- fully treated by wide excision and saphenous vein patch angioplasty. (Ann Vasc Surg 1997;11: 416-419.) tient admitted to a 30-pack/year smoking history, but Mycotic aneurysms of the carotid artery are exceed- was unaware of the presence of hypercholesterolemia or ingly rare vascular lesions which, undiscovered, can a family history of premature atherosclerosis. He had no result in significant neurologic, hemorrhagic, and 1-4 specific risk factors for HIV infection. He denied any neu- infectious morbidity. Management of these le- rologic symptoms. sions can be challenging, requiring expert operative Physical examination revealed a chronically ill- therapy and an aggressive search for an underlying appearing man complaining of a painful neck mass. His cause. Herein we
Annals of Vascular Surgery – Springer Journals
Published: Feb 20, 2014
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