Carotid artery resection and reconstruction with superficial femoral artery transplantation: a case report.
BACKGROUND
Managing advanced head and neck cancer is often a difficult task, particularly when massive invasion of the carotid artery is present. However, en bloc resection can be a curative procedure, and reconstruction of the carotid artery limits the risk for stroke. The aim of this study was to describe the interest, indication, potential risks, and methods by which we carried out resections as well as reconstructions of the carotid artery using superficial femoral artery transplantation.


METHODS
We presented one case of en bloc resection of the carotid artery with reconstruction with superficial femoral artery transplantation.


RESULTS
Postoperative care was uneventful. The patient did not suffer from neurological deficiency. After three years of follow-up, the patient survived without any cancer recurrence.


CONCLUSIONS
The occurrence of massive cancer invasion into the carotid artery should not be a contraindication for surgery. En bloc resection of the carotid artery with revascularization using the superficial femoral artery allows for appropriate control of the cancer, and carries an acceptable level of neurological risk.
Pons
Yoann
Y
Head and Neck Surgery Department, Hôpital du Val de Grâce, 74, Boulevard de Port Royal, 75230 Paris, France. pons.yoann@gmail.com
Ukkola-Pons
Elsa
E
Clément
Philippe
P
Baranger
Bernard
B
Conessa
Claude
C
D002339:Carotid Arteries / Q000473:pathology / Q000601:surgery*; D005263:Femoral Artery / Q000637:transplantation*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*