Tanaka S, Kimura Y, Furukawa M
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, Japan.
J Laryngol Otol. 1995 Sep;109(9):889-91. doi: 10.1017/s0022215100131603.
Pseudoaneurysms of the extracranial carotid arteries are rarely seen following irradiation for cancers of the head and neck. We present a patient with a pseudoaneurysm of the common carotid artery following a radical neck dissection and irradiation for thyroid carcinoma 20 years earlier. Following oesophagoscopical examination, a pseudoaneurysm of the right common carotid artery ruptured into the piriform sinus. The common carotid artery was embolized with multiple coils and the bleeding was halted. The relationship between the carotid artery aneurysm and irradiation, and the treatment of carotid artery aneurysm, is discussed.
头颈部癌症放疗后，颅外颈动脉假性动脉瘤很少见。我们报告一例患者，其20年前因甲状腺癌接受根治性颈清扫术和放疗后，出现颈总动脉假性动脉瘤。在食管镜检查后，右颈总动脉假性动脉瘤破裂进入梨状窝。颈总动脉用多个弹簧圈栓塞，出血停止。本文讨论了颈动脉动脉瘤与放疗的关系以及颈动脉动脉瘤的治疗。
