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KMID : 1201420200130020115
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Journal of Neurocritical Care
2020 Volume.13 No. 2 p.115 ~ p.118
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Endovascular treatment for pseudoaneurysm after carotid blowout syndrome
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Chung Chong-Hyuk
Roh Young-Nam
Lee Seo-Hyeon
Jeong Yeong-Seok
Hong Jeong-Ho
Sohn Sung-Il
Park Hyung-Jong
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Abstract
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Background: Pseudoaneurysms of the carotid artery are rare and can be both a cause and consequence of carotid blowout syndrome (CBS) in patients with head and neck cancer. Surgical or endovascular treatment approaches may be useful for managing this condition.
Case Report: A 55-year-old man presented with a pulsatile mass surrounding the carotid bifurcation in the neck. He reported a history of CBS that occurred as a surgical complication while removing a benign neck cyst. Additionally, he reported a history of laryngeal cancer that underwent complete remission after surgery and radiotherapy. The mass was diagnosed as a pseudoaneurysm. Surgical treatment proved challenging owing to the patient’s history of neck surgery and radiotherapy; therefore, stent-graft deployment was performed and the absence of pulsations was checked through the neck mass.
Conclusion: Endovascular treatment may be a useful therapeutic strategy in cases of post-CBS pseudoaneurysm in patients undergoing surgery and/or radiotherapy for head and neck cancer.
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KEYWORD
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Aneurysm, False, Carotid artery injuries, Stents
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