Pseudoaneurysm of the common carotid artery due to ongoing trauma from the hyoid bone.
We report a left common carotid artery pseudoaneurysm in a 47-year-old bricklayer with no prior surgical procedures or acute neck injury. At operation, the pseudoaneurysm was found to be related to ongoing injury to the carotid artery from the tip of the hyoid bone. The most likely explanation for this was that the patient's job required that he carry cement panniers weighing about 15 kg on his left shoulder and that these panniers repeatedly compressed the left side of his neck, thus forcing the carotid against the hyoid.
Schneider
Claus G
CG
Department of General, Thoracic and Viceral Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. cschneid@uke.uni-hamburg.de
Kortmann
Helmut
H
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000792:Angiography; D017130:Angioplasty / Q000379:methods*; D017536:Carotid Artery, Common; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D006928:Hyoid Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000150:complications* / Q000000981:diagnostic imaging