Pseudoaeurism of the common carotid artery due to penetrating trauma: Convencional treatment

Authors

DOI:

https://doi.org/10.33448/rsd-v13i3.45336

Keywords:

Aneurysm; Carotid artery injuries; Vascular system injuries; Therapeutics.

Abstract

Introduction: Pseudoaneurysm is one of the main complication of vascular neck trauma and it has been historically underestimated because patients with non-catastrophic injuries may not show symptoms until several years after the trauma, but it can result in catastrophic sequelae. Objective: The objective of this article is to present a case report on pseudoanerysm of the common carotid artery due to penetrating trauma. Case report: Male patient, 22 years old with left common carotid artery pseudoaaneurysm due to gunshot two years before. He presented progressive left-sided cervical mass and previous history of two cerebrovascular accidents, resulting in right hemiparesis and dysarthria sequelae. The patient was submitted to open surgical repair and was discharged on the fourth day postoperative in good condition. Conclusion: Our patient was young and had an easily accessible lesion, therefore, we felt that the most durable approach would be open surgical reconstruction with excellent immediate result.

References

Abu-Yousef, M., Wiese, J., & Shamma, A. (1988). The “to-and-fro” sign: Duplex Doppler evidence of femoral artery pseudoaneurysm. American Journal of Roentgenology, 150(3), 632–634. https://doi.org/10.2214/ajr.150.3.632

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Góes Junior, A. M. D. O., Parreira, J. G., Kleinsorge, G. H. D., Dalio, M. B., Alves, P. H. F., Gomes, F. J. S. D. D. V., Araujo, W. J. B. D., Joviliano, E. E., & Oliveira, J. C. P. D. (2023). Brazilian guidelines on diagnosis and management of traumatic vascular injuries. Jornal Vascular Brasileiro, 22, e20230042. https://doi.org/10.1590/1677-5449.202300422;

Gulla, K. M., Chaudhary, N., Sahoo, T., & Sachdev, A. (2020) Carotid Artery Pseudo-Aneurysm. Indian J Pediatr 87:565–6. https://doi.org/10.1007/s12098-020-03228-9.

Hoffman, M. E., Squiers, J. J., Hamandi, M., Lanfear, A. T., Calligaro, K. D., & Shutze, W. P. (2022) Systematic Review of the Influence of Anatomy and Aneurysm Type on Treatment Choice and Outcomes in Extracranial Carotid Artery Aneurysms. Ann Vasc Surg. 83:349–57. https://doi.org/10.1016/j.avsg.2022.02.006.

Kraemer, C. J. K., & Zhou, W. (2019). Carotid aneurysm review. The International Journal of Angiology : Official Publication of the International College of Angiology, Inc, 28(1), 17–19. https://doi.org/10.1055/s-0039-1677675;

Lu W-L, Wang B, Wu F, Wang M-Y, Pan J-X, Xu H. (2019) Covered Stent-Assisted Open Surgery in the Treatment of an Extracranial Carotid Artery Pseudoaneurysm. Ann Vasc Surg 57:238–43. https://doi.org/10.1016/j.avsg.2018.08.084.

Levin, S., & Sullivan, T. (2013). Surgical repair of a common carotid artery pseudoaneurysm after minor blunt trauma. Annals of Vascular Surgery, 27(2), 241.e7-241.e9. https://doi.org/10.1016/j.avsg.2012.10.009;

Madhuripan, N., Atar, O. D., Zheng, R., & Tenenbaum, M. (2017). Computed tomography angiography in head and neck emergencies. Seminars in Ultrasound, CT and MRI, 38(4), 345–356. https://doi.org/10.1053/j.sult.2017.02.003;

Merchán-Haman, E. & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiol. Serv. Saúde. 30 (1) https://doi.org/10.1590/s1679-49742021000100026;

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.

Png, C. Y. M., Faries, P. L., Han, D. K., Marin, M. L., & Tadros, R. O. (2019). Transradial stenting of a carotid pseudoaneurysm. Journal of Vascular Surgery Cases and Innovative Techniques, 5(1), 54–57. https://doi.org/10.1016/j.jvscit.2018.10.007;

Santos Junior, E. P. dos, Batista, R. R. A. M., Oliveira, M. B. de, Alves, R. F., & Blois, R. R. (2011). Pseudoaneurisma de carótida comum secundário a trauma contuso: Opção de tratamento por cirurgia a céu aberto. Jornal Vascular Brasileiro, 10, 261–265. https://doi.org/10.1590/S1677-54492011000300014;

Serna, J. J., Ordoñez, C. A., Parra, M. W., Caicedo, Y., Rosero, A., Velásquez, F., Serna, C., Salcedo, A., González-Hadad, A., Garcia, A., Herrera, M. A., Pino, L. F., Franco, M. J., & Rodríguez-Holguín, F. (2021). Damage control in penetrating carotid artery trauma: Changing a 100-year paradigm. Colombia Medica, 52(2), e4054807. https://doi.org/10.25100/cm.v52i2.4807;

Spanos K, Karathanos C, Stamoulis K, Giannoukas A. D. (2016) Endovascular treatment of traumatic internal carotid artery pseudoaneurysm. Injury, 47:307–12. https://doi.org/10.1016/j.injury.2015.09.015.

Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. (2a ed.), Editora da UFRGS;

Vellimana, A. K., Lavie, J., & Chatterjee, A. R. (2021). Endovascular considerations in traumatic injury of the carotid and vertebral arteries. Seminars in Interventional Radiology, 38(01), 053–063. https://doi.org/10.1055/s-0041-1724008;

Yin, R. K. (2015). O estudo de caso. Bookman.

Wang G, Li C, Piao J, Xu B, Yu J. (2021) Endovascular treatment of blunt injury of the extracranial internal carotid artery: the prospect and dilemma. Int J Med Sci 18:944–52. https://doi.org/10.7150/ijms.50275.

Zhong, Y.-L., Feng, J.-P., Luo, H., Gong, X.-H., & Wei, Z.-H. (2022). Spontaneous internal carotid artery pseudoaneurysm complicated with ischemic stroke in a young man: A case report and review of literature. World Journal of Clinical Cases, 10(22), 8025–8033. https://doi.org/10.12998/wjcc.v10.i22.8025.

Downloads

Published

28/03/2024

How to Cite

BARROS, E. M. N. .; FERREIRA, R. M. P. .; REALE NETO, H. B. .; RODRIGUES, L. J. da M. de M.; BARROS, V. N. . Pseudoaeurism of the common carotid artery due to penetrating trauma: Convencional treatment . Research, Society and Development, [S. l.], v. 13, n. 3, p. e11213345336, 2024. DOI: 10.33448/rsd-v13i3.45336. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45336. Acesso em: 16 nov. 2024.

Issue

Section

Health Sciences