Challenges in Managing Massive Neck Pseudoaneurysm

Abstract Pseudoaneurysms in the neck are challenging surgical cases. They need detailed preoperative evaluation, treatment of etiology, and surgical/interventional management at appropriate time. Here, we describe a case 45-year-old female who presented to emergency with impending rupture swelling right side neck. On it was found be pseudoaneurysm common carotid artery (RCCA). She planned for surgery, but ruptured before patient could taken into operation room (OR). The challenges faced managing described below.