Carotid artery pseudoaneurysm as a rare sequela of surgery for laryngeal cancer.
Formation of carotid artery pseudoaneurysm is uncommon after intensive treatment for head and neck cancer. We encountered a case of postoperative formation of pseudoaneurysm at the left carotid bifurcation in a diabetic man. The risk factors for carotid artery pseudoaneurysm in the patient included diabetes mellitus, previous radiotherapy to the neck, neck dissection, and postoperative Staphylococcus aureus infection secondary to accidental pharyngocutaneous fistula. We successfully obliterated this pseudoaneurysm using a Smart stent and detachable coils without neurological deficits. The possibility of vascular injury after treatment for head and neck cancer must be considered, especially in patients with risk factors for it due to previous treatment.
Iguchi
Hiroyoshi
H
Department of Otolaryngology and Head and Neck Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan. h-iguchi@med.osaka.cu.ac.jp
Takayama
Masahiro
M
Kusuki
Makoto
M
Nakamura
Aki
A
Kanazawa
Akimori
A
Hachiya
Kazutaka
K
Yamane
Hideo
H
D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000628:therapy; D000792:Angiography; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging* / Q000628:therapy; D003131:Combined Modality Therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004621:Embolization, Therapeutic; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007822:Laryngeal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D012086:Reoperation; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000150:complications; D015607:Stents; D013530:Surgical Wound Infection / Q000150:complications; D036542:Tomography, Spiral Computed