TITLE:
Bilateral Carotid Aneurysms Secondary to Catastrophic Antiphospholipid Syndrome in a Patient with Differential Diagnosis of Polyarteritis Nodosa
AUTHORS:
Alexandre Sacchetti Bezerra, Fernanda Gonçalves Moya, Idalecio Souto Fonseca Filho, Alexandre Cesar Fioretti
KEYWORDS:
Aneurism, Anticardiolipin Antibodies, Antiphospholipid Syndrome, Carotid Artery, Thrombosis
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.12 No.1,
January
25,
2022
ABSTRACT: Background: Extracranial Carotid Artery Aneurysm is considered a therapeutic and diagnostic challenge. In an unprecedented way in the literature, wedescribe an aneurysm originating from the Catastrophic Antiphospholipid Syndrome. Case Presentation: A 25-year-old male patient came to the Emergency Room of the ABC University Hospital in Sao Bernardo do Campo referring to bilateral neck pain for 1 month, associated with carotid aneurysms. Due to the severity and urgency of the clinical condition, immediate surgical therapy was performed without a definitive etiological diagnosis. The initial morphological analysis of the carotid artery suggested a diagnosis of Polyarteritis Nodosa. After anamnesis, physical examination, the use of a specific primary vasculitisalgorithm, and a review of the pathological anatomy was requested, which showed bilateral carotid aneurysms secondary to catastrophic antiphospholipid syndrome. Conclusion: It remains evident that Extracranial Carotid Artery Aneurysm-related morbidity and mortality caused by Catastrophic Antiphospholipid Syndrome areinfluenced by a quick and correct diagnosis.