Rupture of a Common Carotid Artery Aneurysm.

A 72 year old man presented to the emergency department with sudden onset of pulsatile mass in the right neck. The neurological examination noted decreased strength of the left upper and lower extremities. (A, B) Computerised tomography angiography showed contained rupture of a right common carotid artery aneurysm with a large right neck haematoma (arrow) and associated tracheal deviation (arrowhead). The patient was taken to the operating room urgently to repair the aneurysm with an interposition femoral vein graft. Post-operatively, his neurological examination was similar, and the patient was discharged to a rehabilitation facility.Image 1