Document Detail

Endovascular management of infected carotid artery pseudoaneurysm complicating pharyngolaryngectomy: complete occlusion followed by early recurrence and rebleeding.
MedLine Citation:
PMID:  15667692     Owner:  NLM     Status:  MEDLINE    
Carotid artery pseudoaneurysms are rare lesions and are increasingly treated by endovascular means. This paper reports the case of a patient presenting with haemorrhage due to a left external carotid artery pseudoaneurysm seven weeks after total laryngectomy for carcinoma. The lesion recurred and rebled after technically successful emergency endovascular occlusion. Subsequent aneurysmectomy and carotid sacrifice resulted in fatal hemispheric infarction. The aneurysm was demonstrated to be infected on white cell study and subsequent histopathology. We propose that infection within the aneurysm itself was a significant factor in its recurrence and rebleeding after endovascular occlusion. If infection is proven or suspected then consideration should be given to early surgical rather than endovascular intervention.
Anthony J P Goddard; Robert K Lenthall; Patrick J Bradley
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  118     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-01-25     Completed Date:  2005-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  991-5     Citation Subset:  AIM; IM    
Queens Medical Centre, Nottingham, UK.
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MeSH Terms
Aneurysm, False / etiology,  surgery*
Carotid Artery Diseases / etiology,  surgery*
Carotid Artery, External*
Embolization, Therapeutic
Fatal Outcome
Laryngectomy / adverse effects*
Pharyngectomy / adverse effects*

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