Abstract
Any pulsatile neck mass after extracorporeal membrane oxygenation (ECMO) must be viewed as a pseudoaneurysm of the carotid artery until proven otherwise. Prompt diagnosis is necessary utilizing ultrasound. Angiography may not be necessary. Carotid artery pseudoaneurysm requires urgent surgical intervention to prevent catastrophic hemorrhage. The utilization of cardiopulmonary bypass may facilitate safe repair. (Ann Vasc Surg 1997; 11:630-633.)
Similar content being viewed by others
References
Shanley CJ, Bartlett RH. Extracorporeal life support: Techniques, indications, and results. In Cameron JL, ed. Current Surgical Therapy, 4th ed. St. Louis: Mosby Inc., 1992, pp 1062–1066.
Robinson NA, Flotte CT. Traumatic aneurysms of the carotid arteries. Am Surg 1974;40:121–124.
Hargreaves DG, Baskerville DM. False aneurysm of the carotid artery. J R Soc Med 1995;88:50–51.
McCollum CH, Wheeler WG, Noon GP, DeBakey ME. Aneurysms of the extracranial carotid artery. Twenty-one years experience. Am J Surg 1979;137:196.
Elliott MJ. Ultrafiltration and modified ultrafiltration in pediatric open heart operations. Ann Thorac Surg 1993;56:1518–1522.
Cohen JR. Vascular Surgery for the House Officer. Baltimore:Williams and Wilkins, 1986, pp 90–93.
Cooper A. Account of the first successful operation performed on the common carotid artery for aneurysm. Guy’s Hosp Rep 1836;1:53.
George SM, Croece MA, Fabian TC, et al. Cervicothoracic arterial injuries: Recommendations for diagnosis and management. World J Surg 1991; 15:134–139.
Johnston RH, Wall MJ, Mattox KL. Innominate artery trauma: A thirty-year experience. J Vasc Surg 1993;17:134–140.
Mattox KL. Invited commentary. World J Surg 1991;15:139–140.
Vaughn GD, Mattox KL, Feliciano DV, Beall AC, DeBakey ME. Surgical experience with expanded polytetrafluoroethylene (PTFE) as a replacement graft for traumatized vessels. J Trauma 1979;19:403–408.
Shah PM, Ito K, Clauss RH, Babu SC, Reynolds BM, Stahl WM. Expanded microporous polytetrafluoroethylene (PTFE) grafts in contaminated wounds: Experimental and clinical study. J Trauma 1983;23:1030–1033.
Author information
Authors and Affiliations
About this article
Cite this article
Jacobs, J.P., Goldman, A.P., Cullen, S. et al. Carotid artery pseudoaneurysm as a complication of ECMO. Annals of Vascular Surgery 11, 630–633 (1997). https://doi.org/10.1007/s100169900102
Issue Date:
DOI: https://doi.org/10.1007/s100169900102