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Pseudoaneurysm of the carotid artery with haemorrhage into the hypopharynx

Published online by Cambridge University Press:  29 June 2007

Saichiro Tanaka*
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
Yasuyuki Kimura
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
Mitsuru Furukawa
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan.
*
Dr Saichiro Tanaka, Department of Otorhinolaryngology, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa 920, Japan. Fax: (Japan) 0762-34-4265

Abstract

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.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

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