1.Ruptured Internal Carotid Artery Pseudoaneurysm 10 Years after Cervical Spine Surgery
Baran ŞIMŞEK ; Volkan YÜKSEL ; Serhat HÜSEYIN ; Orkut GÜÇLÜ ; Suat CANBAZ
Vascular Specialist International 2019;35(2):111-113
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.
Aneurysm, False
;
Angiography
;
Carotid Artery, Internal
;
Fistula
;
Hematemesis
;
Hemorrhage
;
Laminoplasty
;
Pharynx
;
Polytetrafluoroethylene
;
Spine
;
Transplants