Iatrogenic carotid artery pseudoaneurysm presenting with conductive hearing loss.
Pseudoaneurysms of the intracranial internal carotid artery may occur in the setting of carotid artery dehiscence, due to trauma, invasive tumors, or as a complication of surgery. The rare surgical complication of carotid artery laceration in the petrous segment may occur during myringotomy procedures, middle ear operations, or petrous temporal bone surgery. We report a 28-year-old female patient, a case of internal carotid artery pseudoaneurysm as a complication of middle ear surgery. On her follow-up, computed tomography of the temporal bone demonstrated a dehiscent carotid artery, and a pseudoaneurysm involving the left petrous internal carotid artery was found in the cerebral angiography. She was managed by endovascular means.
Saylam
Guleser
G
Dişkapi Yildirim Beyazid Education and Training Hospital, Ankara, Turkey. guleserkilic@yahoo.com
Tulgar
Meltem
M
Saatci
Işil
I
Korkmaz
Hakan
H
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006314:Hearing Loss, Conductive / Q000209:etiology*; D006801:Humans; D007049:Iatrogenic Disease; D019933:Ossicular Replacement / Q000009:adverse effects*