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Pseudoaneurysm of the left internal carotid artery following tonsillectomy

M Vávrová1, I Slezácek, P Vávra

  • 1Municipal Hospital Department of Radiology, Ostrava-Fifejdy, Czech Republic. michaela.vavrova@volny.cz

VASA. Zeitschrift Fur Gefasskrankheiten
|November 18, 2011
PubMed

Insights

Internal carotid artery pseudoaneurysm, a rare complication of deep neck infections, can occur after tonsillectomy. Endovascular stent implantation successfully treated a pseudoaneurysm in a teenage patient, offering a safe and effective solution.

Area of Science:

  • Vascular Surgery
  • Otorhinolaryngology
  • Interventional Radiology

Background:

  • Deep neck infections are uncommon causes of internal carotid artery pseudoaneurysms.
  • Tonsillectomy, a common surgical procedure, can rarely lead to such complications.

Observation:

  • A 17-year-old male presented with symptoms of swallowing difficulty, trismus, and headache four weeks post-tonsillectomy.
  • Computed tomography confirmed an extracranial pseudoaneurysm of the left internal carotid artery.

Findings:

  • A bare Wallstent was successfully implanted, achieving complete pseudoaneurysm occlusion.
  • The endovascular approach proved to be a rapid and safe treatment modality.

Implications:

  • This case highlights the importance of considering vascular complications after head and neck surgery.
  • Endovascular treatment offers a minimally invasive and effective option for managing internal carotid artery pseudoaneurysms.

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