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Vascular and Endovascular Surgery
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Article

Management of a Chronic Carotid Artery Pseudoaneurysm

Aaron C. Baker, MD*, Frank R. Arko III, Christopher K. Zarins, and Eugene S. Lee

* To whom correspondence should be addressed. E-mail: aaron.baker{at}ucdmc.ucdavis.edu.


   Abstract
An 82-year-old female with a history of right carotid endarterectomy with patch closure 12 years prior presents with a pulsatile right neck mass with skin erosion and bleeding. The patient had been previously evaluated but refused the surgical intervention because a median sternotomy was recommended to obtain adequate proximal control. Her aneurysm was successfully repaired using a combination of open and endovascular method. The repair was performed through a right-hand side anterior sternocleidomastoid neck incision, and proximal vascular control was obtained with an 8.5-mm balloon positioned under fluoroscopic guidance via a femoral puncture.

First published on October 14, 2009
Vascular and Endovascular Surgery 2009, doi:10.1177/1538574409347395


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