Mycotic internal carotid artery pseudoaneurysm secondary to Mycobacterium tuberculosis

Dennis H Lui; Shreena Patel; Ruhaid Khurram; Michael Joffe; Jason Constantinou; Daryl Baker

doi:10.1016/j.jvscit.2022.02.012

Mycotic internal carotid artery pseudoaneurysm secondary to Mycobacterium tuberculosis

J Vasc Surg Cases Innov Tech. 2022 Mar 9;8(2):251-255. doi: 10.1016/j.jvscit.2022.02.012. eCollection 2022 Jun.

Authors

Dennis H Lui^{1

2}, Shreena Patel³, Ruhaid Khurram³, Michael Joffe³, Jason Constantinou¹, Daryl Baker¹

Affiliations

¹ Department of Vascular Surgery, Royal Free London NHS Foundation Trust, Royal Free Hospital, London, UK.
² Divison of Surgery and Interventional Science, University College London, London, UK.
³ Department of Clinical Radiology, Royal Free London NHS Foundation Trust, Royal Free Hospital, London, UK.

Abstract

Mycobacterium tuberculosis is a rare causative agent for mycotic aneurysms of the extracranial carotid arteries. We describe a case of acute mycotic pseudoaneurysm and abscess in the right proximal internal carotid artery in close proximity to the carotid bifurcation, and subsequent management with antibiotic therapy, surgical debridement and resection with an end-to-end anastomosis.

Keywords: Aneurysm; Carotidynia; Extracranial carotid artery aneurysm; Lymphadenitis; Mycotic.

Publication types

Case Reports