Vasc Spec Int.  2019 Jun;35(2):111-113. 10.5758/vsi.2019.35.2.111.

Ruptured Internal Carotid Artery Pseudoaneurysm 10 Years after Cervical Spine Surgery

• ÅžimÅŸek B
• Yüksel V
• Hüseyin S
• Güçlü O
• Canbaz S

• KMID: 2455142
• DOI: http://doi.org/10.5758/vsi.2019.35.2.111

Abstract

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.

Keyword

Carotid artery ınjuries; Vascular system ınjuries; Cervical spine surgery; Surgical repair

MeSH Terms

Aneurysm, False*
Angiography
Carotid Artery, Internal*
Fistula
Hematemesis
Hemorrhage
Laminoplasty
Pharynx
Polytetrafluoroethylene
Spine*
Transplants
Polytetrafluoroethylene