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Ruptured Internal Carotid Artery Pseudoaneurysm 10 Years after Cervical Spine Surgery
Baran Şimşek,Volkan Yüksel,Serhat Hüseyin,Orkut Güçlü,Suat Canbaz 대한혈관외과학회 2019 Vascular Specialist International Vol.35 No.2
An iatrogenic internal carotid artery (ICA) pseudoaneurysm is an extremely rare complication of cervical spine surgery. Here we report an extraordinary case of massive hematemesis due to a ruptured ICA pseudoaneurysm caused by the laminoplasty plate 10 years after cervical spine surgery. Computed tomography angiography revealed a ruptured 4×10-mm left extracranial ICA pseudoaneurysm probably connected to the pharynx. Emergent surgery was performed because of the uncontrolled massive bleeding. After complete resection of the injured segment, an interposition graft with a 6-mm polytetrafluoroethylene graft was placed and the fistula tract to the pharynx was repaired.