{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:58:33Z","timestamp":1787169513383,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Pseudoaneurysm of the common carotid artery (CCA) is exceptionally unstable and unpredictable; it mandates quick medical attention in order to circumvent neurologic sequelae or hemorrhage. Unanticipated rupture is extremely lethal and a potential provocation for the anesthesia caregiver. It is an arduous challenge for an anesthetist to establish emergency airway when a huge bleeding pseudoaneurysm is compressing and deviating the trachea, securing invasive lines in collapsing vessels, volume and vasopressor resuscitation in deteriorating hemodynamics in order to maintain cerebral perfusion without compromising other vital organs, arranging huge amount of blood and blood products in a short span of time, and transferring an exsanguinating patient for the rapid institution of cardiopulmonary bypass. Not only preoperatively it also necessitates appropriate neuromonitoring and neuroprotection during and after surgery. The association of unforeseen rupture of common carotid artery pseudoaneurysm secondary to the tubercular spine and lifesaving management by the rapid institution of cardiopulmonary bypass (CPB) is a rare occasion. To the best of the authors' knowledge, there is not any similar case in the peer-reviewed literature. Therefore, the authors enumerate the clinical experience of an unexpected rupture of CCA pseudoaneurysm requiring lifesaving CPB and emphasize the \u201cTimely Teamed Effort Approach\u201d that can sustain a life in such an inevitable situation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_257_20","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T13:32:18Z","timestamp":1642771938000},"page":"119-122","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Unforeseen Rupture of Pseudoaneurysm of Common Carotid Artery"],"prefix":"10.4103","volume":"25","author":[{"given":"Devishree","family":"Das","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeeep","family":"Chauhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sambhunath","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Praveen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-23-20240901","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1002\/hed.20855","article-title":"Pseudoaneurysm of the external carotid artery-Review of literature","volume":"31","author":"Nadig","year":"2009","journal-title":"Head Neck"},{"key":"R2-23-20240901","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s00270-008-9440-3","article-title":"Interventional radiology in the diagnosis, management, and follow-up of pseudoaneurysms","volume":"32","author":"Keeling","year":"2009","journal-title":"Cardiovasc Intervent Radiol"},{"key":"R3-23-20240901","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.jvs.2014.07.092","article-title":"Surgical and medical management of extracranial carotid artery aneurysms","volume":"61","author":"Fankhauser","year":"2015","journal-title":"J Vasc Surg"},{"key":"R4-23-20240901","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1016\/j.jvs.2011.12.054","article-title":"Presentation and management of carotid artery aneurysms and pseudoaneurysms","volume":"55","author":"Garg","year":"2012","journal-title":"J Vasc Surg"},{"key":"R5-23-20240901","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.ejvs.2007.08.003","article-title":"Tuberculous aneurysm of extracranial carotid artery","volume":"35","author":"Stephen","year":"2008","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"R6-23-20240901","first-page":"1152","article-title":"Mycotic aneurysms of the carotid bifurcation in the neck: Case report and review of the literature","volume":"48","author":"Nader","year":"2001","journal-title":"Neurosurgery"},{"key":"R7-23-20240901","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1111\/j.1365-2141.2006.06355.x","article-title":"Guidelines on the management of massive blood loss","volume":"135","author":"Stainsby","year":"2006","journal-title":"Br J Haematol"},{"key":"R8-23-20240901","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1111\/j.1365-2044.2010.06538.x","article-title":"Blood transfusion and the anaesthetist: Management of massive haemorrhage","volume":"65","author":"Thomas","year":"2010","journal-title":"Anaesthesia"},{"key":"R9-23-20240901","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1093\/bja\/43.6.531","article-title":"Studies of anaesthesia in relation to hypertension. II. Haemodynamic consequences of induction and endotracheal intubation","volume":"43","author":"Prys-Roberts","year":"1984","journal-title":"Br J Anaesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_257_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:07:46Z","timestamp":1787166466000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_257_20"}},"subtitle":["An Arduous Anesthetic Challenge"],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_257_20","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}