PMC7591980_01
Computed Tomography (CT) scan shows a 60 x 105 mm pseudoaneurysm of the right carotid bifurcation (arrows).
CRIVAM2020-8815524.001.jpg
PMC7591980_01_CRIVAM2020-8815524.001.jpg
fig1
Computed Tomography (CT) scan showed a 60 x 105 mm pseudoaneurysm of the right carotid bifurcation surrounded by infected fluid collection (Figure 1) and did not reveal any cerebral embolic signs.
Great saphenous vein prepared to replace the carotid bifurcation.
CRIVAM2020-8815524.002.jpg
PMC7591980_01_CRIVAM2020-8815524.002.jpg
fig2
The vessels are being sutured end to end with the parachute technique using Prolene  6/0 diameters (Figure 2).
Pseudoaneurysm of right carotid bifurcation after dissection (dashed line) and the control of internal (arrow a), external (arrow b), and commune (arrow c) carotid arteries with vessel loops.
CRIVAM2020-8815524.003.jpg
PMC7591980_01_CRIVAM2020-8815524.003.jpg
fig3
We interrupted the blood circulation using the catheter balloon just for the time of dissection of the mass and to achieve the control of internal, external, and commune carotid arteries (Figure 3).
After 1 month from surgery, Computed Tomography (CT) scan shows good patency of the graft (arrow).
CRIVAM2020-8815524.004.jpg
PMC7591980_01_CRIVAM2020-8815524.004.jpg
fig4
After 1 month, the patient performed a control CT scan that revealed the good patency of the graft (Figure 4) without imaging of cerebral ischemia; moreover, dysphonia recovered completely.