Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492011000300014
Jornal Vascular Brasileiro
Case Report

Pseudoaneurisma de carótida comum secundário a trauma contuso: opção de tratamento por cirurgia a céu aberto

Pseudoaneurysm of common carotid due to trauma: treatment option for open sky surgery

Edson Pedroza dos Santos Junior; Rodolfo Rogers Américo Machado Batista; Maykon Brescancin de Oliveira; Remy Faria Alves; Ricardo Russi Blois

Downloads: 2
Views: 1467

Resumo

Relato de caso de paciente feminina, com 44 anos de idade, vítima de trauma cervical em acidente de trânsito, que apresentou massa cervical dolorosa, rouquidão e disfagia associados, três semanas após o trauma. Exames complementares identificaram pseudoaneurisma de carótida comum em zona II. Optou-se pelo tratamento por meio de cirurgia convencional a céu aberto com excelente resultado imediato. Foi realizado um exame de controle após sete meses do procedimento cirúrgico, e os resultados confirmaram o sucesso terapêutico.

Palavras-chave

pseudoaneurisma, carótida extracraniana, cirurgia

Abstract

Case report of a female patient, 44 years-old, victim of cervical trauma in a traffic accident, who had painful cervical mass, associated with hoarseness and dysphagia three weeks after trauma. Additional tests identified the pseudoaneurysm of common carotid artery in zone II. We opted for treatment through the open conventional surgery with excellent immediate result. Control examination was performed seven months after surgery, and the results confirmed the therapeutic success.

Keywords

pseudoaneurysm, extracranial carotid, surgery

References

Rutherford . Cirurgia Vascular: Lesões das Artérias Carótidas e Vertebrais. 2007:1006-16.

Sá PM, Machado MC, Silva DA, Brito LL, El Hassan S. Epistaxe tardia secundária a pseudoaneurisma intracavernoso de carótida interna. Rev Bras Otorrinolaringol. 2003;69(5):715-8.

Oliveira AF, Kajita D, Garzon RGA, Centola APC, Bosnardo CAP, Neto MF. Tratamento endovascular de pseudo-aneurisma de carótida interna em criança. J Vasc Br. 2006;5(1):67-70.

Zanini MA, Tahara A, dos Santos GS, de Freitas CCM, Jory M, Caldas JGMP. Pseudoaneurysm of the Internal Carotid Artery Presenting with Massive (recurrent) Epistaxes. Arq Neuropsiquiatr. 2008;66(2-A):268-71.

Väärämämäki S, Pimimenoff G, Heikkinen M, Suominen V, Saarinen J, Zeitlin R. Ten-year outcomes after endovascular aneurysm repair (EVAR) and magnitude of additional procedures. Scand J Surg. 2007;96(3):221-8.

Bredt CFG, França LHG, Back LA, Machado EL, Jacobovicz C, Júnior HJS. Aneurisma Gigante de Carótida Interna: Tratamento Cirúrgico, Hospital de Clínicas da UFPR. J Vasc Surg. 2003.

Romanus AB, Mazer S, Carvalho AN, Liu CB, De Toni FS, Jacob GVV. Pseudo-aneurismas: relato de dois casos e revisão da literatura. Radiol Bras. 2002;35(5):303-6.

Bush RL, Lin PH, Dodson TF, Dion JE, Lumsden AB. Endoluminal stent placement and coil embolization for the management of carotid artery pseudoaneurysms. J Endovasc Ther. 2001;8:53-61.

Kasthoori JJ, Nawawi O. Endoluminal Stent Placement in the Management of Recurrent Carotid Blowout Syndrome. J HK Coll Radiol. 2007;10:62-5.

Coldwell DM, Novak Z, Ryu RK, Brega KE, Biffl WL, Offner PJ. Treatment of posttraumatic internal carotid arterial pseudoaneurysms with endovascular stents. J Trauma. 2000;48:470-2.

Yi AC, Palmer E, Luh GY, Jacobson JP, Smith DC. Endovascular treatment of Carotid and Vertebral Pseudoaneurysms with Covered Stents. Am J Neuroradiol. 2008;29:983-7.

Zhang YS, Yang XJ, Wang SZ, Qiao AK, Chen JL, Zhang KY. Hemodynamic effects of stenting on wide-necked intracranial aneurysms. Chin Med J. 2010;123(15):1999-2003.

Garcia MRT, Chammas MC, Caiado AHM, Juliano AG, Leite CC, Cerri GG. Aneurisma da artéria carótida interna extracraniana: Relato de caso. Radiol Bras. 2004;37(4):295-7.

Sencer S, Minareci O, Poyanli A. Posttraumatic Damage To The Internal Carotid Artery: Pseudo aneurysm Presenting With Epistaxis And Direct Carotid Cavernous Fistula. Turkish Neurosurgenj. 2002;12:128-34.

Fang C, Li MH, Tan HQ, Zhang PL, Zhou B. Endovascular treatment of pseudo-aneurysm occurring after embolization of traumatic carotid cavernous fistula with detachable balloons. Chin Med J. 2008;121(15):1487-91.

Mcneil CJD, Chiou MAC, Gunlock MMG, Grayson CDE, Soares MG, Hagino MRT. Successful endovascular therapy of a penetrating zone III internal carotid injury. J Vasc Surg. 2002;36:187-90.

Baum AR, Stavropoulos SW, Fairman RM, Carpenter JP. Endoleaks after Endovascular Repair of Abdominal Aortic Aneurysms. JVasc Interv Radiol. 2003;14:1111-7.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddfb0f60e8825f74461c40c jvb Articles

J Vasc Bras

Share this page
Page Sections