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KMID : 1037520190350020111
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Vascular Specialist International
2019 Volume.35 No. 2 p.111 ~ p.113
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Ruptured Internal Carotid Artery Pseudoaneurysm 10 Years after Cervical Spine Surgery
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Simsek Baran
Yuksel Volkan
Huseyin Serhat
Guclu Orkut
Canbaz Suat
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Abstract
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An iatrogenic internal carotid artery (ICA) pseudoaneurysm is an extremely rare complication of cervical spine surgery. Here we report an extraordinary case of massive hematemesis due to a ruptured ICA pseudoaneurysm caused by the laminoplasty plate 10 years after cervical spine surgery. Computed tomography angiography revealed a ruptured 4×10-mm left extracranial ICA pseudoaneurysm probably connected to the pharynx. Emergent surgery was performed because of the uncontrolled massive bleeding. After complete resection of the injured segment, an interposition graft with a 6-mm polytetrafluoroethylene graft was placed and the fistula tract to the pharynx was repaired.
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KEYWORD
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Carotid artery Injuries, Vascular system Injuries, Cervical spine surgery, Surgical repair
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