Reconstruction of carotid artery pseudoaneurysm in an intravenous drug user with multiple needles in the neck

Mihaly Z,Osztrogonacz P,Folyovich A,Olah Z,Sotonyi P,Beres Molnar Ka,Szeberin Z,Jermendy Al,Nemes B

doi:10.15761/jts.1000342

Abstract

Reconstruction of carotid artery pseudoaneurysm in an intravenous drug user with multiple needles in the neck

Highlights

There are very few intravenous drug abuse-related carotid pseudoaneurysm cases reported in the literature
An endovascular occlusion of the common carotid artery was necessary for anastomotic disruption of allograft placed for a common carotid pseudoaneurysm
Carotid artery pseudoaneurysms caused in drug abusers by iv. needle injuries are rare

Summary

Introduction

Extracranial carotid artery aneurysms (ECAA) are uncommon, contributing to less than 1% of all arterial aneurysms [1,2]. A 45-year-old intravenous heroin user male patient was admitted to our department He used to inject heroin with insulin syringes directly into the jugular vein or common carotid artery in the supraclavicular region on both sides. He had fallen, and his left cervical region begun to swell He was admitted to a hospital but was soon discharged because of the lack of need for urgent intervention. Z (2019) Reconstruction of carotid artery pseudoaneurysm in an intravenous drug user with multiple needles in the neck of local infection, extensive cutaneous scarring was visible (Figure 1A). The CT angiography (CTA) showed broken needles in both cervical regions and a pseudoaneurysm of the left common carotid artery with a diameter of 5 cm causing tracheal dislocation (Figure 1B).

Findings

Discussion

Conclusion