Baker Aaron C, Arko Frank R, Zarins Christopher K, Lee Eugene S
Department of Surgery, University of California, Davis, California, USA.
Vasc Endovascular Surg. 2010 Jan;44(1):61-3. doi: 10.1177/1538574409347395. Epub 2009 Oct 14.
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.
