Marco de Lucas Enrique, Gutiérrez Agustín, González Mandly Andrés, García-Pire Francisco, Marco de Lucas María Teresa, Parra José Antonio, Sáiz-Bustillo Ramón
Department of Radiology, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Jul;106(1):129-32. doi: 10.1016/j.tripleo.2007.09.031. Epub 2008 Mar 4.
Vascular complications after third molar extraction are very rare but may cause a life-threatening situation. The case presented is that of a 25-year-old male who appeared at our emergency department with severe dyspnea and increasing swelling of the left submandibular area 3 days after dental extraction. CT angiography and digital subtraction angiography demonstrated a pseudoaneurysm of the facial artery. Subsequent emergent endovascular embolization with n-Butyl-2-Cyanoacrylate was performed and the patient had a rapid satisfactory resolution.
智齿拔除后的血管并发症非常罕见，但可能导致危及生命的情况。本文介绍的病例是一名25岁男性，拔牙后3天因严重呼吸困难和左下颌下区肿胀加剧而到我院急诊科就诊。CT血管造影和数字减影血管造影显示面动脉假性动脉瘤。随后紧急进行了正丁基-2-氰基丙烯酸酯血管内栓塞术，患者迅速康复。
