Bilateral common carotid artery mycotic aneurysms in the setting of intravenous drug abuse.

MedStar author(s):
Citation: Journal of Vascular Surgery Cases & Innovative Techniques. 9(1):101068, 2023 Mar.PMID: 36747602Institution: MedStar Franklin Square Medical CenterDepartment: General Surgery ResidencyForm of publication: Journal ArticleMedline article type(s): Case ReportsYear: 2023ISSN:
  • 2468-4287
Name of journal: Journal of vascular surgery cases and innovative techniquesAbstract: Carotid mycotic aneurysms are rare, and fewer than five case reports have described carotid mycotic aneurysms due to intravenous drug abuse. Rare bilateral intracranial mycotic carotid aneurysms have been reported, although a review of literature revealed no cases of bilateral extracranial carotid aneurysms. We have reported the case of a 41-year-old man who had presented with intermittent fevers, headaches, and myalgias of 2 weeks' duration. He was found to have bilateral carotid artery mycotic aneurysms after intravenous drug abuse with neck injections. We used a management strategy entailing unilateral endovascular balloon control with open surgical resection followed by placement of a saphenous vein graft. The contralateral aneurysm was managed nonoperatively with antibiotics. Copyright © 2022 The Authors.All authors: Randhawa D, Zheng KH, Stanziale S, Chin JFiscal year: FY2023Digital Object Identifier: Date added to catalog: 2023-04-11
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Carotid mycotic aneurysms are rare, and fewer than five case reports have described carotid mycotic aneurysms due to intravenous drug abuse. Rare bilateral intracranial mycotic carotid aneurysms have been reported, although a review of literature revealed no cases of bilateral extracranial carotid aneurysms. We have reported the case of a 41-year-old man who had presented with intermittent fevers, headaches, and myalgias of 2 weeks' duration. He was found to have bilateral carotid artery mycotic aneurysms after intravenous drug abuse with neck injections. We used a management strategy entailing unilateral endovascular balloon control with open surgical resection followed by placement of a saphenous vein graft. The contralateral aneurysm was managed nonoperatively with antibiotics. Copyright © 2022 The Authors.

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