Staged Definitive Repair after Carotid Blowout: A Case Report

Melissa N Loja; Christopher Abbot; Richard Isaacs; John Brawley; Misty Humphries

doi:10.1016/j.avsg.2017.06.031

Staged Definitive Repair after Carotid Blowout: A Case Report

Ann Vasc Surg. 2017 Nov:45:263.e5-263.e9. doi: 10.1016/j.avsg.2017.06.031. Epub 2017 Jun 27.

Authors

Melissa N Loja¹, Christopher Abbot², Richard Isaacs³, John Brawley², Misty Humphries⁴

Affiliations

¹ Division of Vascular Surgery, Department of Surgery, University of California, Davis, Sacramento, CA. Electronic address: [email protected].
² Division of Vascular Surgery, Department of Surgery, Kaiser Permanente Medical Group, Sacramento, CA.
³ Department of Head and Neck Surgery, Kaiser Permanente Medical Group, Sacramento, CA.
⁴ Division of Vascular Surgery, Department of Surgery, University of California, Davis, Sacramento, CA.

PMID: 28666819
DOI: 10.1016/j.avsg.2017.06.031

Abstract

Carotid blowout syndrome is a highly morbid complication of head and neck cancer. We present the case of a 51-year-old woman with common carotid artery blowout, initially temporized with an endovascular stent graft and ultimately reconstructed using autologous superficial femoral artery. The patient recovered without sequelae and continues to be asymptomatic at 1 year. We present the modern hybrid management of this complex case.

Publication types

Case Reports

MeSH terms

Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Carotid Artery Diseases / diagnostic imaging
Carotid Artery Diseases / etiology
Carotid Artery Diseases / surgery*
Computed Tomography Angiography
Endovascular Procedures* / instrumentation
Female
Femoral Artery / transplantation*
Head and Neck Neoplasms / complications
Head and Neck Neoplasms / pathology
Head and Neck Neoplasms / therapy*
Humans
Middle Aged
Neck Dissection / adverse effects*
Prosthesis Design
Radiotherapy / adverse effects
Stents
Treatment Outcome