Internal carotid artery pseudoaneurysm after tonsillectomy treated by endovascular approach - A case report

Surgery on the head and neck region may be complicated by vascular trauma, caused by direct injury on the vascular wall. Lesions of the arteries are more dangerous than the venous one. The traumatic lesion may cause laceration of the artery wall, spasm, dissection, arteriovenous fistula, occlusion o...

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Detalhes bibliográficos
Autores: Raffin, C. N., Montovani, Jair Cortez [UNESP], Neto, JMP, Campos, CMS, Piske, R. L.
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2002
País:Brasil
Recursos:Universidade Estadual Paulista (UNESP)
Repositório:Repositório Institucional da UNESP
Idioma:inglês
OAI Identifier:oai:repositorio.unesp.br:11449/12361
Acesso em linha:http://www.ncbi.nlm.nih.gov/pubmed/20594516
http://hdl.handle.net/11449/12361
Access Level:Acceso aberto
Palavra-chave:postoperative complication
tonsillectomy
ICA cervical aneurysm
pseudoaneurysm
pediatrics
Descrição
Resumo:Surgery on the head and neck region may be complicated by vascular trauma, caused by direct injury on the vascular wall. Lesions of the arteries are more dangerous than the venous one. The traumatic lesion may cause laceration of the artery wall, spasm, dissection, arteriovenous fistula, occlusion or pseudoaneurysm.We present a case of a child with a giant ICA pseudoaneurysm after tonsillectomy, manifested by pulsing mass and respiratory distress, which was treated by endovascular approach, occluding the lesion and the proximal artery with Histoacryl. We reinforce that the endovascular approach is the better way to treat most of the traumatic vascular lesions.