Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-23T23:09:20.725Z Has data issue: false hasContentIssue false

Pseudoaneurysm of the carotid artery with haemorrhage into the hypopharynx

Published online by Cambridge University Press:  29 June 2007

Saichiro Tanaka*
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
Yasuyuki Kimura
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
Mitsuru Furukawa
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
*
Dr Saichiro Tanaka, Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan. Fax: (Japan) 0762-34-4265

Abstract

Pseudoaneurysms of the extracranial carotid arteries are rarely seen following irradiation for cancers of the head and neck. We present a patient with a pseudoaneurysm of the common carotid artery following a radical neck dissection and irradiation for thyroid carcinoma 20 years earlier. Following oesophagoscopical examination, a pseudoaneurysm of the right common carotid artery ruptured into the piriform sinus. The common carotid artery was embolized with multiple coils and the bleeding was halted. The relationship between the carotid artery aneurysm and irradiation, and the treatment of carotid artery aneurysm, is discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Braun, I. F., Battey, P. M., Fulenwider, T., Per-Lee, J. H. (1986) Transcatheter carotid occlusion: an alternative to the surgical treatment of cervical carotid aneurysms. Journal of Vascular Surgery 4: 299302.CrossRefGoogle Scholar
Lin, F., Lin, J., Chang, H., Yan, C. (1988) Pseudoaneurysm of common carotid artery after irradiation: report of a case. Journal of the Formosan Medical Association 87: 828831.Google ScholarPubMed
McCollum, C. H., Wheeler, W. G., Noon, G. P., DeBakey, M. E. (1979) Aneurysms of the extracranial carotid artery. 21 years' experience. American Journal of Surgery 137: 196200.CrossRefGoogle Scholar
McCready, R. A., Hyde, G. L., Bivins, B. A., Mattingly, S. S., Griffen, W. O. (1983) Radiation-induced arterial injuries. Surgery 93: 306312.Google ScholarPubMed
Rittenhouse, E. A., Radke, H. M., Sumner, D. S. (1972) Carotid artery aneurysm, review of the literature and report of a case with rupture into the oropharynx. Archives of Surgery 105: 786789.CrossRefGoogle ScholarPubMed
Schwartz, L. B., McCann, R. L. (1989) Traumatic false aneurysm of the common carotid artery presenting as a mediastinal mass: a case report. Journal of Vascular Surgery 10: 281284.CrossRefGoogle ScholarPubMed
Silverberg, G. D., Britt, R. H., Goffinet, D. R. (1978) Radiation-induced carotid artery disease. Cancer 41: 130137.3.0.CO;2-X>CrossRefGoogle ScholarPubMed