J Cerebrovasc Endovasc Neurosurg.  2017 Jun;19(2):117-119. 10.7461/jcen.2017.19.2.117.

Intraoperative Common Carotid Artery Injury during Ventriculoperitoneal Shunt Surgery

• Kwon SW
• Jung JM
• Sohn S
• Chung CK

• KMID: 2393390
• DOI: http://doi.org/10.7461/jcen.2017.19.2.117

Abstract

There are a number of complications associated with ventriculoperitoneal shunt (VPS) surgery. The authors present a rare case of iatrogenic common carotid artery injury during VPS surgery.

Keyword

Ventriculoperitoneal shunt; Common carotid artery injury; Complication

MeSH Terms

Carotid Artery, Common*
Ventriculoperitoneal Shunt*

Figure

• 

  Fig. 1 (A) Axial CT angiography after VPS surgery showing dissection of the left common carotid artery (arrow) with a large hematoma (arrow heads). (B) Reconstructed image of the dissected left common carotid artery. Pseudoaneurysm (arrow) and intramural hematoma (arrow head). CT = computed tomography; VPS = ventriculoperitoneal shunt.

• 

  Fig. 2 (A) Intraoperative photograph showing the ruptured left common carotid artery (arrow). (B) Resected artery containing the ruptured site (arrow). (C) Intraoperative photograph of the repaired left common carotid artery with a vascular graft (arrow).

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