Esophageal stent erosion into the common carotid artery.
A pseudoaneurysm of the common carotid artery was found with computed tomography in a 62-year-old woman with an esophageal stent that had eroded through her skin. The pseudoaneurysm was treated with a self-expanding nitinol stent; after massive hemoptysis, an endograft was placed on the pseudoaneurysm. The patient then underwent ligation of the left common carotid artery, proximal to the carotid bulb, and excision of the endograft and previously placed coils. The esophageal stent wires were so that they could no longer impinge the common carotid artery.
Ali
Ahsan T
AT
Division of Vascular Surgery, Department of Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Little Rock, AR 72205, USA. aali@uams.edu
Kokoska
Mimi S
MS
Erdem
Eren
E
Eidt
John F
JF
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications; D006801:Humans; D008026:Ligation; D008875:Middle Aged; D011475:Prosthesis Failure; D015641:Radiography, Interventional; D012008:Recurrence; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000601:surgery