Fatal Subarachnoid Hemorrhage From Ruptured Intracerebral Aneurysm After Carotid Endarterectomy

Stephanie Yee, Manuel Portalatin, Monica Sridhar, John Perrone, Adebayo Adunbarin, Manrique Guerrero, John M. Danks, Jamshed Zuberi, Alan J. Sori


Concomitant carotid stenosis with cerebral aneurysm is a rare entity with an incidence reported to be about 1.9-3.2%. The effect of carotid revascularization on pre-existing cerebral aneurysm, along with risk factors for aneurysmal rupture, is not fully understood. We report a 61-year-old man who underwent carotid endarterectomy (CEA) for symptomatic carotid stenosis, and 6 days post-operatively the patient suffered a fatal subarachnoid hemorrhage from the rupture of a known basilar artery aneurysm. This rare but potentially fatal complication of a ruptured cerebral aneurysm after CEA warrants a discussion on the management of concomitant pathology.

J Med Cases. 2020;11(1):12-15
doi: https://doi.org/10.14740/jmc3403


Carotid endarterectomy; Revascularization; Aneurysmal rupture; Subarachnoid hemorrhage

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