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Case Reports
. 2019 Feb 21:19:ic8.
eCollection 2019.

Management of a Spontaneous Carotid Artery Blowout

Shabaaz S Sandhu  1 , Jake Laun  1 , Joshua B Elston  1 , Nicholas J Panetta  1
Affiliations
Case Reports

Management of a Spontaneous Carotid Artery Blowout

Shabaaz S Sandhu et al. Eplasty. .
No abstract available

Keywords: carotid artery rupture; neck dissection; pectoralis major; radiation; reconstruction.

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Figures

Figure 1
Figure 1
On presentation of spontaneous carotid artery rupture after a remote history of neck dissection and radiation therapy. Note the dark spot at the rupture site.
Figure 2
Figure 2
Portion of carotid artery removed and ultimately bypassed with a vein graft. Note the corresponding black spot on clinical examination.
Figure 3
Figure 3
(a) After removal of ruptured carotid, interposition venous bypass grafting is performed and a flap is designed for coverage incorporating a skin paddle. (b) Myocutaneous pectoralis major dissected free. (c) Flap transposed into position. (d) Flap inset with meshed split-thickness skin graft for coverage of remaining muscle. Myocutaneous component of the flap covers the venous interposition graft.
Figure 4
Figure 4
Follow-up at 4 months shows the well-healed flap.
See this image and copyright information in PMC

References

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    1. Chen YJ, Wang CP, Wang CC, Jiang RS, Lin JC, Liu SA. Carotid blowout in patients with head and neck cancer: associated factors and treatment outcomes. Head Neck. 2015;37(2):265–72. - PubMed
    1. Cohen J, Rad I. Contemporary management of carotid blowout. Curr Opin Otolaryngol Head Neck Surg. 2004;12(2):110–5. - PubMed
    1. Lu HJ, Chen KW, Chen MH, et al. Predisposing factors, management, and prognostic evaluation of acute carotid blowout syndrome. J Vasc Surg. 2013;58(5):1226–35. - PubMed

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