Life-threatening pseudoaneurysm of the facial artery after dental extraction: successful treatment with emergent endovascular embolization.
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.
Marco de Lucas
Enrique
E
Department of Radiology, Hospital Universitario Marqués de Valdecilla, Santander, Spain. radmle@humv.es
Gutiérrez
Agustín
A
González Mandly
Andrés
A
García-Pire
Francisco
F
Marco de Lucas
María Teresa
MT
Parra
José Antonio
JA
Sáiz-Bustillo
Ramón
R
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*
D014014:Tissue Adhesives; D004659:Enbucrilate