title: Life-threatening pseudoaneurysm of the facial artery after dental extraction: successful treatment with emergent endovascular embolization.
abstract: Vascular complications after third molar extraction are very rare but may cause a life-threatening situation. The case presented is that of a 25-year-old male who appeared at our emergency department with severe dyspnea and increasing swelling of the left submandibular area 3 days after dental extraction. CT angiography and digital subtraction angiography demonstrated a pseudoaneurysm of the facial artery. Subsequent emergent endovascular embolization with n-Butyl-2-Cyanoacrylate was performed and the patient had a rapid satisfactory resolution.
authors.affiliation: Department of Radiology, Hospital Universitario Marqués de Valdecilla, Santander, Spain. radmle@humv.es
authors.forename: Enrique
authors.initials: E
authors.lastname: Marco de Lucas
authors.forename: Agustín
authors.initials: A
authors.lastname: Gutiérrez
authors.forename: Andrés
authors.initials: A
authors.lastname: González Mandly
authors.forename: Francisco
authors.initials: F
authors.lastname: García-Pire
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Marco de Lucas
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Parra
authors.forename: Ramón
authors.initials: R
authors.lastname: Sáiz-Bustillo
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D001158:Arteries / Q000293:injuries; D016461:Chemoembolization, Therapeutic; D004659:Enbucrilate / Q000031:analogs & derivatives / Q000627:therapeutic use; D005145:Face / Q000098:blood supply; D006801:Humans; D008297:Male; D008334:Mandible; D008964:Molar, Third / Q000601:surgery*; D015641:Radiography, Interventional; D014014:Tissue Adhesives / Q000627:therapeutic use; D014081:Tooth Extraction / Q000009:adverse effects*
chemical_list: D014014:Tissue Adhesives; D004659:Enbucrilate