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颈椎手术后10年发生的颈内动脉假性动脉瘤破裂

Ruptured Internal Carotid Artery Pseudoaneurysm 10 Years after Cervical Spine Surgery.

作者信息

Şimşek Baran, Yüksel Volkan, Hüseyin Serhat, Güçlü Orkut, Canbaz Suat

机构信息

Department of Cardiovascular Surgery, Trakya University Faculty of Medicine, Edirne, Turkey.

出版信息

Vasc Specialist Int. 2019 Jun;35(2):111-113. doi: 10.5758/vsi.2019.35.2.111. Epub 2019 Jun 30.

DOI:10.5758/vsi.2019.35.2.111
PMID:31297362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6609019/
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.

摘要

医源性颈内动脉假性动脉瘤是颈椎手术极其罕见的并发症。在此，我们报告一例颈椎手术后10年因椎板成形钢板导致颈内动脉假性动脉瘤破裂而引发大量呕血的特殊病例。计算机断层血管造影显示一个4×10毫米的左侧颅外颈内动脉假性动脉瘤破裂，可能与咽部相通。由于出血无法控制，遂进行了急诊手术。在完全切除受损节段后，置入一段6毫米的聚四氟乙烯移植血管进行血管置换，并修复通向咽部的瘘管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ec/6609019/e8efb3dcd2f2/vsi-35-111f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ec/6609019/c4fa11956950/vsi-35-111f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ec/6609019/e73536035d41/vsi-35-111f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ec/6609019/e8efb3dcd2f2/vsi-35-111f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ec/6609019/c4fa11956950/vsi-35-111f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ec/6609019/e73536035d41/vsi-35-111f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ec/6609019/e8efb3dcd2f2/vsi-35-111f3.jpg

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本文引用的文献

1
Endovascular Treatment of Infectious Pseudoaneurysm of Internal Carotid Artery.颈内动脉感染性假性动脉瘤的血管内治疗
World Neurosurg. 2019 May;125:42-43. doi: 10.1016/j.wneu.2019.01.147. Epub 2019 Feb 5.
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[Extracranial aneurysms of carotid arteries in the practice of a vascular surgeon].[血管外科医生临床实践中的颈动脉颅外动脉瘤]
Angiol Sosud Khir. 2018;24(1):180-189.
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Carotid Pseudoaneurysm After Eversion Endarterectomy: A Case Report and Review of the Literature.外翻式颈动脉内膜切除术后颈动脉假性动脉瘤：一例报告并文献复习
Vasc Endovascular Surg. 2018 May;52(4):309-312. doi: 10.1177/1538574418761981. Epub 2018 Mar 8.
4
Extracranial internal carotid artery pseudoaneurysm associated with neurofibromatosis type 1 treated with endovascular stenting and coil embolization.1型神经纤维瘤病相关的颅外颈内动脉假性动脉瘤采用血管内支架置入和弹簧圈栓塞治疗。
Vasc Endovascular Surg. 2014 Feb;48(2):176-9. doi: 10.1177/1538574413510623. Epub 2013 Nov 7.
5
Delayed cavernous carotid artery pseudoaneurysm caused by absorbable plate following transsphenoidal surgery: case report and review of the literature.经蝶窦手术后可吸收板导致的延迟性海绵窦段颈内动脉假性动脉瘤：病例报告及文献复习
J Neurol Surg Rep. 2013 Jun;74(1):10-6. doi: 10.1055/s-0033-1338164. Epub 2013 Apr 8.
6
Endovascular implantation of covered stents in the extracranial carotid and vertebral arteries: Case series and review of the literature.颅外颈动脉和椎动脉覆膜支架的血管内植入：病例系列及文献综述
Surg Neurol Int. 2011;2:67. doi: 10.4103/2152-7806.81725. Epub 2011 May 28.