A Case of Pseudoaneurysm of the Common Carotid Artery Presented with Upper Airway Obstruction

Extracranial carotid artery aneurysms account for only 1% of all arterial aneurysms and therefore they are quite rare pathology. Patients with those aneurysms present with a pulsatile neck mass, neurological events such as a stroke and a cranial nerves dysfunction due to compression effects. Because of the high risk of a rupture and thromboembolic events, it is recommended to repair these aneurysms either utilizing open surgical or endovascular approach. This report details a case of a female patient with a common carotid artery pseudoaneurysm presented with upper airway obstruction. Tracheotomy was performed as a lifesaving procedure. We opted for an endovascular management because of the existing tracheostomy that could complicate surgical approach. Pseudoaneurysm was successfully managed with an endovascular deployment of self-expanding stent graft.