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Extracranial Internal Carotid Artery Mycotic Aneurysm: Case Report and Review

UCLA Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at University of California, Los Angeles, California, jbocjboc{at}hotmail.com

Sean Darcy, MD

UCLA Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at University of California, Los Angeles, California

Todd Reil, MD

UCLA Gonda (Goldschmied) Vascular Center, David Geffen School of Medicine at University of California, Los Angeles, California

Mycotic aneurysms of the internal carotid artery (ICA) are rare and often difficult to diagnose. They can have nonspecific signs and symptoms, an unclear etiology, and can lead to severe morbidity and mortality if left untreated. We present a case of a 47-year-old woman with an apparent mycotic aneurysm of the extracranial ICA associated with Klebsiella pneumonia. We discuss the various clinical findings and radiographic imaging that lead to this unusual diagnosis and the details of our surgical treatment, which included excision of the mycotic aneurysm and reconstruction with a greater saphenous vein interposition graft. We also review the literature on mycotic aneurysms of the ICA, including the radiologic modalities available to diagnose this condition, epidemiology, pathophysiology, and treatment options.

Key Words: internal carotid artery • myotic • aneurysm

This version was published on August 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 4, 410-415 (2009)
DOI: 10.1177/1538574409340590


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