ABSTRACT

This case is of an older woman who had an uneventful left CEA with Hemashield roof patch four years prior to this event. She was neurologically intact. She presented to our ENT service with a neck mass (A) not related to any inciting event; specifically, she reported no trauma or heavy exertion, also no pain or bleeding. The radiologists read both her CT and MRI/MRA scans as being normal. Nonetheless, I was sufficiently concerned that I ordered catheter angiography (B), which demonstrated this aneurysmal segment along the repair. She was treated with a stent with good results, and the mass resolved with no complications of any kind.