Claus G. Schneider, MD, Helmut Kortmann, MD

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Presentation transcript:

Pseudoaneurysm of the common carotid artery due to ongoing trauma from the hyoid bone Claus G. Schneider, MD, Helmut Kortmann, MD Journal of Vascular Surgery Volume 45, Issue 1, Pages 186-187 (January 2007) DOI: 10.1016/j.jvs.2006.08.075 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 A conventional transverse section computed tomography scan of the neck shows a 3.6-cm-diameter pseudoaneurysm of the carotid artery. Journal of Vascular Surgery 2007 45, 186-187DOI: (10.1016/j.jvs.2006.08.075) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Computed tomography scan of the neck with three-dimensional reconstruction of the carotid arteries of both sides demonstrates leakage of contrast media from the distal common carotid artery. Journal of Vascular Surgery 2007 45, 186-187DOI: (10.1016/j.jvs.2006.08.075) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Intraoperative view shows the inner surface of the vessel and the perforation (P) of the common carotid artery ventromedial 3 mm below the bifurcation. Journal of Vascular Surgery 2007 45, 186-187DOI: (10.1016/j.jvs.2006.08.075) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 A, Intraoperative view into the pseudoaneurysm and the carotid bifurcation before reconstruction. B, Anatomic features are outlined. The perforation (P) corresponds to the palpable great horn (GH) of the hyoid bone. PA, Pseudoaneurysm; CCA, common carotid artery; ECA, external carotid artery; ICA, internal carotid artery; S, shunt. Journal of Vascular Surgery 2007 45, 186-187DOI: (10.1016/j.jvs.2006.08.075) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions