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Mycotic aneurysm of the external carotid artery

Published online by Cambridge University Press:  29 June 2007

G. A. Worley
Affiliation:
Department of Otolaryngology, St George's HospitalLondon, UK.
J. D. Hern*
Affiliation:
Department of Otolaryngology, St George's HospitalLondon, UK.
G. J. O'Sullivan
Affiliation:
Department of Vascular Radiology, St George's HospitalLondon, UK.
P. Tassone
Affiliation:
Department of Otolaryngology, St George's HospitalLondon, UK.
A. E. Hinton
Affiliation:
Department of Otolaryngology, St George's HospitalLondon, UK.
*
Address for correspondence: Mr J. D. Hern, 4 Avondale Road, Mortlake, London SW14 8PT. Fax: 0181 876 1812

Abstract

Mycotic aneurysms of the extracranial carotid arteries are extremely rare. A case is reported of a false aneurysm of the left external carotid artery. This developed secondary to cervical lymphadenitis which did not settle with high dose antibiotic therapy. The diagnosis was made on investigation with carotid doppler ultrasound and confirmed with computerized tomography. Digital subtraction angiography was performed to highlight the vascular anatomy. In addition percutaneous balloon catheter control of blood flow in the external carotid artery was used as an adjunct to surgical management.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1998

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