Fungal internal carotid artery aneurysms: successful embolization of an Aspergillus-associated case and review.

@article{Hot2007FungalIC,
  title={Fungal internal carotid artery aneurysms: successful embolization of an Aspergillus-associated case and review.},
  author={Arnaud Hot and Mikael Mazighi and Marc Lecuit and Sylvain Poir{\'e}e and Jean Paul Viard and Pierre Loulergue and Felipe Suarez and Bertrand F Dupont and Jean Jacques Merland and Olivier Lortholary},
  journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America},
  year={2007},
  volume={45 12},
  pages={
          e156-61
        }
}
  • A. Hot, M. Mazighi, +7 authors O. Lortholary
  • Published 15 December 2007
  • Medicine
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
BACKGROUND Fungal aneurysms of the carotid artery are rare. We report here a case of Aspergillus fumigatus invasive sphenoidal sinusitis complicated by carotid artery aneurysms in a severely neutropenic patient who was successfully treated with a combination of antifungal therapy and embolization of all aneurysms. METHODS AND RESULTS Carotid aneurysms were suspected when severe epistaxis occurred during follow-up for sinusitis. MRI angiograph and cerebral angiograph revealed 5 aneurysms… 
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37 Citations
Background Citations
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Methods Citations
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37 Citations

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Citation Type

Fungal Internal Carotid Artery Aneurysm Treated by Trapping and High-Flow Bypass: A Case Report and Literature Review
TLDR
Although fungal ICA aneurysm carries a high mortality rate, early detection and prompt treatment by trapping and high-flow bypass can lead to good clinical outcome.
Fungal Mycotic Aneurysm of the Internal Carotid Artery Associated with Sphenoid Sinusitis in an Immunocompromised Patient: A Case Report and Review of the Literature
TLDR
The case of a 71-year-old immunocompromised patient who developed an ICA mycotic aneurysm, associated with a proven invasive fungal infection of the sphenoid sinuses, as defined by EORTC/MSG criteria is presented.
An aspergillotic aneurysm of the internal carotid artery following allogeneic bone marrow transplantation: successful management with catheter coil embolization and long‐term antifungal agents
  • T. Watanabe, T. Okada, +8 authors A. Iwai
  • Medicine
    Transplant infectious disease : an official journal of the Transplantation Society
  • 2009
TLDR
This case emphasizes the need for the rapid diagnosis of potential fungal involvement of the vascular system and suggests the necessity for aggressive treatment, such as with the modality illustrated in this case.
Intracranial Fungal Aneurysms
TLDR
Compared to bacterial intracranial aneurysms, fungal ones lead to a poor outcome because of a mixture of difficulty in making a correct diagnosis, poor favorable response to antifungal drugs, proximal site of the aneurYSms, adjacent artery thrombosis, immunocompromised status, serious medical comorbidities, and often a friable arterial wall.
Mycotic Aneurysm of External Carotid Artery following Traumatic Brain Injury: Case Report and Review of Literature.
TLDR
This is the first report of mycotic aneurysm of ECA following severe TBI which was successfully treated with antimicrobial therapy.
Internal Carotid Artery Blister-Like Aneurysm Caused by Aspergillus – Case Report
TLDR
A 83-year-old man who received corticosteroid pulse therapy followed by oral steroid therapy for an inflammatory pseudotumor of the clivus died of subarachnoid hemorrhage caused by the left ICA aneurysm rerupture, and it was considered that Aspergillus hyphae caused infectious aneurYSm formation in theleft ICA via hematogenous seeding rather than direct invasion.
Invasive sinus aspergillosis with mycotic aneurysm of the vertebral artery and subarachnoid hemorrhage – Case report
Mycotic aneurysm of the internal carotid artery.
Pulmonary Artery Aneurysm Caused by Aspergillus Pneumonia Presenting as an Endobronchial Mass Lesion
TLDR
Treatment by endovascular coil embolisation was successfully employed in this instance, allowing the patient to be weaned from ventilatory support, and the identification and successful treatment of pulmonary artery aneurysms requires a high-index of suspicion.
Invasive Fungal Carotiditis: A Rare Manifestation of Cranial Invasive Fungal Disease: Case Series and Systematic Review of the Literature
TLDR
Invasive fungal carotiditis is a rare but morbid manifestation of cranial IFD and administration of antifungal treatment, vascular imaging, and endovascular interventions should be considered to reduce the high mortality of this disease.
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