Babu Basil, Jayant Divij, Behera Arunanshu, Tandup Cherring, Sahoo Swapnesh Kumar, Thakur Vipul
Post Graduate Institute of Medical Education and Research - PGIMER, Department of General Surgery, Chandigarh, India.
J Vasc Bras. 2024 Aug 9;23:e20230170. doi: 10.1590/1677-5449.202301702. eCollection 2024.
A 47-year-old male presented with a right-sided Shamblin type 2 carotid body tumor measuring 5*5 cm. After preoperative embolization, a sub adventitial resection of the tumor was done. He was discharged after postoperative day 5 and presented again to emergency 10 days later with a bleeding pseudoaneurysm at the surgical site causing dysphagia and dyspnea. He was taken for emergency exploration of the surgical wound and, intraoperatively, it was observed that the proximal ends of the internal carotid artery and external carotid artery close to the bifurcation were forming a pseudoaneurysm, 1 cm distal to the common carotid artery. The external carotid artery was ligated and a common carotid to internal carotid artery bypass was done with a reversed saphenous vein graft. He recovered well in the postoperative period and was discharged on day 7. Pseudoaneurysm formation following carotid body tumor resection is extremely rare and has only been reported thrice in the literature.
一名47岁男性患者，右侧出现一个大小为5×5厘米的沙姆林2型颈动脉体瘤。术前栓塞后，对肿瘤进行了外膜下切除。术后第5天出院，10天后再次因手术部位出血性假性动脉瘤导致吞咽困难和呼吸困难而急诊入院。他接受了手术伤口的急诊探查，术中观察到靠近分叉处的颈内动脉和颈外动脉近端形成了一个假性动脉瘤，位于颈总动脉远端1厘米处。结扎了颈外动脉，并用一段倒置的大隐静脉进行了颈总动脉至颈内动脉搭桥术。他术后恢复良好，术后第7天出院。颈动脉体瘤切除术后假性动脉瘤形成极为罕见，文献中仅报道过3次。
