Ruptured Internal Carotid Artery Pseudoaneurysm 10 Years after Cervical Spine Surgery
10.5758/vsi.2019.35.2.111
- Author:
Baran ŞIMŞEK
1
;
Volkan YÜKSEL
;
Serhat HÜSEYIN
;
Orkut GÜÇLÜ
;
Suat CANBAZ
Author Information
1. Department of Cardiovascular Surgery, Trakya University Faculty of Medicine, Edirne, Turkey. simsekbaran@yahoo.com
- Publication Type:Case Report
- Keywords:
Carotid artery ınjuries;
Vascular system ınjuries;
Cervical spine surgery;
Surgical repair
- MeSH:
Aneurysm, False;
Angiography;
Carotid Artery, Internal;
Fistula;
Hematemesis;
Hemorrhage;
Laminoplasty;
Pharynx;
Polytetrafluoroethylene;
Spine;
Transplants
- From:Vascular Specialist International
2019;35(2):111-113
- CountryRepublic of Korea
- Language:English
-
Abstract:
An iatrogenic internal carotid artery (ICA) pseudoaneurysm is an extremely rare complication of cervical spine surgery. Here we report an extraordinary case of massive hematemesis due to a ruptured ICA pseudoaneurysm caused by the laminoplasty plate 10 years after cervical spine surgery. Computed tomography angiography revealed a ruptured 4×10-mm left extracranial ICA pseudoaneurysm probably connected to the pharynx. Emergent surgery was performed because of the uncontrolled massive bleeding. After complete resection of the injured segment, an interposition graft with a 6-mm polytetrafluoroethylene graft was placed and the fistula tract to the pharynx was repaired.
