Conclusion

Pseudoaneurysm is a late complication of a carotid endarterectomy often due to graft disintegration There may be a role for endovascular stenting prior to performing cut-down to minimize risk of blood loss, stroke, arterial ligation and nerve injury We believe that the open surgical debridement and repair is the ideal approach, but we have to consider that the assisting endovascular stenting improves the surgical outcome in such rare cases