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Acute airway obstruction due to ruptured aneurysmal arterio–venous fistula: common carotid artery to internal jugular vein

Published online by Cambridge University Press:  29 June 2007

V. Nandapalan ,
D. G. O'Sullivan ,
M. Siodlak  and
P. Charters
V. Nandapalan*
Affiliation:
Department of Otolaryngology, Royal Liverpool University Hospital, Liverpool, UK
D. G. O'Sullivan
Affiliation:
Department of Otolaryngology, Arrowe Park Hospital, Liverpool, UK
M. Siodlak
Affiliation:
Department of Otolaryngology, Walton Hospital, Liverpool, UK
P. Charters
Affiliation:
Department of Anaesthesia, Walton Hospital, Liverpool, UK.
*
Address for correspondence: Mr V. Nandapalan, Registrar in Otorhinolaryngology, Department of Otorhinolaryngology, Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP. Fax: 0151-706 5806
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Abstract

Fistulae between major vessels in the head and neck are uncommon. In both civilian and wartime reports, the total number of traumatic arterio–venous fistulae in head and neck region account for less than four per cent of all arterial injuries. Fourteen cases of congenital communication between the external carotid artery and external or internal jugular vein have been reported. We report and discuss the management of a case of ruptured carotico–jugular fistula secondary to infection which presented as acute upper airway obstruction. This appears to be the first description of such a case in the literature.

Keywords

Arteriovenous fistulaCarotid arteriesJugular veins
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 562 - 564
Copyright
Copyright © JLO (1984) Limited 1995

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