Abstract
A 54-year-old man developed a pseudoaneurysm of the left external carotid artery 8 years after concluding treatment for squamous cell carcinoma of the tongue. Treatment included radiation therapy, radical neck dissection and a myocutaneous pectoralls major flap. Percutaneous transcatheter embolization resulted in thrombosis of the pseudoaneurysm. A review of the literature yielded only six other reported cases of pseudoaneurysm of the external carotid artery proper.
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References
1.
Yarington
CT
,
Yonkers
AJ
,
Beddoe
GM
. Radical neck dissection. Mortality and morbidity . Arch Otolaryngol
1973 ; 97 : 306 –8 .
2.
Hillerman
BL
,
Kennedy
TL
. Carotid rupture and tissue coverage . Laryngoscope
1982 ; 92 : 985 –8 .
3.
Ariyan
S
. Radical neck dissection . Surg Clin North Am
1986 ; 66 : 133 –48 .
4.
Coleman
JJ
. Complications in head and neck surgery . Surg Clin North Am
1986 ; 66 : 149 –67 .
5.
Shumrick
DA
. Carotid artery rupture . Laryngoscope
1973 ; 83 : 1051 –61 .
6.
Parnell
FW
. Complications of radical neck dissection . Arch Otolaryngol
1968 ; 88 : 180 –3 .
7.
Heller
KS
,
Strong
EW
. Carotid arterial hemorrhage after radical head and neck surgery . Am J Surg
1979 ; 138 : 606 –10 .
8.
Miller
DR
,
Bergstrom
L
. Vascular complications of head and neck surgery . Arch Otolaryngol
1974 ; 100 : 136 –40 .
9.
Price
JC
,
Davis
RK
,
Koltai
PJ
. The pectoralis myocutaneous flap for salvage of necrotic wounds . Laryngoscope
1985 ; 95 : 146 –50 .
10.
Marchetta
FC
,
Sako
K
,
Maxwell
W
. Complications after radical head and neck surgery performed through previously irradiated tissues . Am J Surg
1967 ; 114 : 835 –8 .
11.
Fonkalsrud
EW
,
Sanchez
M
,
Zerubavel
R
,
Mahoney
A
. Serial changes in arterial structure following radiation therapy . Surg Gynecol Obstet
1977 ; 145 : 395 –400 .
12.
Habel
DW
. Surgical complications in irradiated patients . Arch Otolaryngol
1965 ; 82 : 382 –6 .
13.
Silverberg
GD
,
Britt
RH
,
Goffinet
DR
. Radiation-induced carotid artery disease . Cancer
1978 ; 41 : 130 –7 .
14.
Eierding
SC
,
Fernandez
RN
,
Grotta
JC
,
Lindberg
RD
,
Luceli
CC
,
McMurtrey
MJ
. Carotid artery disease following external cervical irradiation . Ann Surg
1981 ; 194 : 609 –15 .
15.
McCready
RA
,
Hyde
GL
,
Bivins
BA
,
Mattingly
SS
,
Griffen
WO
. Radiation-induced arterial injuries . Surgery
1983 ; 93 : 306 –12 .
16.
Bole
PV
,
Hintz
G
,
Chander
P
,
Chan
YS
,
Clauss
RH
. Bilateral carotid aneurysms secondary to radiation therapy . Ann Surg
1975 ; 181 : 888 –92 .
17.
Lin
FY
,
Lin
JW
,
Chang
H
,
Yan
CL
. Pseudoaneurysm of common carotid artery after irradiation: report of a case . Taiwan I Hsueh Hui Tsa Chih
1988 ; 87 : 828 –31 .
18.
Calem
WS
. Traumatic (false) aneurysm of the terminal portion of the external carotid artery . Am J Surg
1963 ; 106 : 522 –4 .
19.
Okafor
BC
. Aneurysm of the external artery following a foreign body in the pharynx . J Laryngol Otol
1978 ; 92 : 429 –34 .
20.
Johnson
JN
,
Helsby
CR
,
Stell
PM
. Aneurysm of the external carotid artery . J Cardiovasc Surg (Torino)
1980 ; 21 : 105 –7 .
21.
Maurizi
M
,
Almadori
G
,
Paludetti
G
,
Ottaviani
F
,
Loschi
A
. Pseudoaneurysm of the external carotid artery: report of a case . Int) Pediatr Otorhinolaryngol
1985 ; 8 : 263 –9 .
22.
Mauldin
FW
,
Cornay
WJ
III
,
Mahaley
MS
Jr
,
Hicks
JN
. Severe epistaxis from a false aneurysm of the external carotid artery . Otolaryngol Head Neck Surg
1989 ; 101 : 588 –90 .
23.
Taher
AAY
. Traumatic external carotid artery aneurysm causing facial nerve paralysis. A case report . Int J Oral Maxillofac Surg
1991 ; 20 : 88 –9 .
24.
Winslow
N
,
Edwards
M
. Aneurysm of the temporal artery . Am J Surg
1935 ; 28 : 696 –702 .
25.
Matsumura
M
,
Kakegawa
T
,
Shibasaki
T
. Traumatic giant aneurysm of the external carotid artery . Surg Neurol
1987 ; 27 : 487 –90 .
26.
Roberson
GH
,
Price
AC
,
Davis
JM
,
Gulati
A
. Therapeutic embolization of juvenile angiofibroma . Am I Radiology
1979 ; 133 : 657 –63 .
27.
Latchaw
RE
,
Gold
LHA
. Polyvinyl foam embolization of vascular and neoplastic lesions of the head, neck, and spine . Radiology
1979 ; 131 : 669 –79 .
28.
Kaufman
SL
,
Kumar
AAJ
,
Roland
JMA
. Transcatheter embolization in the management of congenital arteriovenous malformations . Radiology
1980 ; 137 : 21 –9 .
29.
Persky
MS
,
Berenstein
A
,
Cohen
NL
. Combined treatment of head and neck vascular masses with preoperative embolization . Laryngoscope
1984 ; 94 : 20 –7 .
