Endovascular coiling of a mycotic external carotid artery pseudoaneurysm following pharyngolaryngectomy with a free jejunal graft

2011 ◽  
Vol 126 (2) ◽  
pp. 214-216 ◽  
Author(s):  
J L C Smelt ◽  
O Alhamarneh ◽  
J D Dyer ◽  
L Liew
Keyword(s):  
Squamous Cell Carcinoma ◽  
Carotid Artery ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
External Carotid Artery ◽  
Endovascular Coiling ◽  
External Carotid ◽  
Artery Pseudoaneurysm ◽  
Jejunal Graft ◽  
Mycotic Pseudoaneurysm

AbstractObjectives:(1) To highlight the significance of carotid artery pseudoaneurysm as a rare complication following neck dissection, and (2) to suggest endovascular coiling as management, in the presence of infection, previous radiotherapy and a grafted blood supply.Case report:A 66-year-old man diagnosed with squamous cell carcinoma of the hypopharynx and upper oesophagus underwent pharyngolaryngectomy with reconstruction of a neo-pharynx using a free jejunal graft. The patient had previously received radiotherapy for a soft palate squamous cell carcinoma. Two months after surgery, computed tomography demonstrated a bilobed pseudoaneurysm of the left external carotid artery just distal to the arterial branch supplying the jejunal graft. This mycotic pseudoaneurysm was successfully treated with endovascular coiling, while maintaining the patency of the superior thyroid artery supplying the jejunal graft anastomosis.Conclusion:In this patient, endovascular coiling of the external carotid artery was considered to be the only definitive treatment for a life-threatening mycotic pseudoaneurysm.

Mycotic Pseudoaneurysm in the External Carotid Artery From Escherichia coli

2015 ◽  
Vol 66 (5) ◽  
pp. 305-306
Author(s):  
Daniel Soliva Martínez ◽  
Isabel Belda González ◽  
Sagrario Relanzón Molinero
Keyword(s):  
Escherichia Coli ◽  
Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Mycotic Pseudoaneurysm

Giant life-threatening external carotid artery pseudoaneurysm caused by a mandibular condylar fracture

2015 ◽  
Vol 119 (3) ◽  
pp. e95-e100 ◽  
Author(s):  
André Luis Ribeiro Ribeiro ◽  
Walessa Brasil da Silva ◽  
Sérgio de Melo Alves-Junior ◽  
João de Jesus Viana Pinheiro
Keyword(s):  
Carotid Artery ◽  
External Carotid Artery ◽  
External Carotid ◽  
Condylar Fracture ◽  
Artery Pseudoaneurysm ◽  
Life Threatening

scholarly journals Endovascular Embolization of a Dissected External Carotid Artery Pseudoaneurysm in a Young Female with Neurofibromatosis Complicated by Preeclampsia

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Sasha Lalla ◽  
Rajeev Seecheran ◽  
Valmiki Seecheran ◽  
Sangeeta Persad ◽  
Ronald Henry ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Fibromuscular Dysplasia ◽  
Congenital Abnormalities ◽  
Young Female ◽  
Endovascular Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Cystic Medial Necrosis ◽  
Artery Pseudoaneurysm ◽  
Medial Necrosis

Carotid artery pseudoaneurysms are infrequently encountered in clinical practice. Major contributory etiologies include blunt trauma, infections, cystic medial necrosis, fibromuscular dysplasia, arteriosclerosis, and congenital abnormalities. The authors report an exceedingly rare case of a dissected external carotid artery pseudoaneurysm in a 26-year-old female patient with neurofibromatosis complicated by preeclampsia at 28-week period of gestation, safely and successfully treated by coil embolization.

Cervical squamous cell carcinoma of the esophagus-a unique series of limited resection and free jejunal graft interposition after neoadjuvant RCTx in 94 patients

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 4572-4572
Author(s):  
K. Ott ◽  
F. Lordick ◽  
M. Feith ◽  
H. Bartels ◽  
U. Fink ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Median Survival ◽  
Squamous Cell ◽  
Tumor Regression ◽  
Cervical Squamous Cell Carcinoma ◽  
Limited Resection ◽  
Jejunal Graft ◽  
Graft Interposition ◽  
Complete Tumor

4572 Background: The treatment of cervical squamous cell carcinoma (SCC) is discussed controversial. A limited resection of the cervical esophagus and reconstruction with a free jejenunal graft interposition using a microsurgical technique has been evaluated in our department. Methods: From 1986–2006 94 patients with the initial staging uT2–4, N any cM0 (75 male, 19 female; age 56+9.6, range: 19–74 years) with cervical SCC of the esophagus were treated with limited esophageal resection and reconstructed with a free jejunal autograft in combination after neoadjuvant RCTx within phase II studies. The median follow up is 23 months (0.1–120). Results: Laryngectomie had to be performed in 13 patients (14%). Recurrent nerve palsy on one side was found in 15/77 (19.5%) and on both sides in 13/77 (17%). Complications occurred in 70 (75%) of the patients, 47% of the patients had more than one complication. Reoperations were necessary in 29 patients (31%). The 30-day mortality was 2/94 (2.1%). Median survival is 29.9 months (1-, 3 and 5-year survival rates: 81%, 43%, 41%). 27/94 (29%) patients showed complete tumor regression (ypT0) after RCTx. Prognostic factors are complete tumor regression (p=0.007), ypT-(p=0.006), the R-category (p=0.018), but not the ypN-category (p=0.06). Neither the occurrence of complications (p=0.57) nor reoperation (p=.89) are associated with survival. The complete resection rate was 76 % (71/94). Median survival is 34.3 months, median recurrence free survival is 21.4 months for the R0 resected patients. 30/71 (42%) had a recurrence (locoregional in 27% (19/71), distant metastases in 10% (7/71) and a combination of both in 6% (4/71). Conclusions: Limited resection of the esophagus and reconstruction by a free jejunal graft after neoadjuvant RCTx is highly sophisticated and complex. Despite a high complication and reoperation rate the results are excellent with a low mortality and a good prognosis. This approach seems to be appropriate for cervical SCC in oncological centers with an infrastructure providing interdisciplinary management. Comparable data for cervical SCC of the esophagus without the inclusion of hypopharyx carcinoma do not exist in literature so far. No significant financial relationships to disclose.

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