Vascular complications of shotgun injury to the face

This is a case report of a 23-year-old female who received a gunshot wound to the face while working at a convenience store. Her injuries were: a large left facial entrance wound with a single sinus cavity that was converted from destruction of the paranasal sinuses, a right Collet-Sicard syndrome, and a right vertebral artery pseudoaneurysm at the C1 level. The successful treatment of her injuries is described, with an extensive discussion of the pseudoaneurysm, which was treated endovascularly, with permanent occlusion of the vertebral artery by use of a balloon catheter.