Iatrogenic common carotid artery rupture during neck surgery rescued using covered stent - A case report -

Abstract

The brain, which is highly vulnerable to ischemia, receives its blood supply from the internal carotid arteries (ICAs) and vertebral arteries. Within the cranial vault, the terminal branches of these arteries form an anastomotic circle, called the Circle of Willis. However, hypoplasia of these circles is common (24%), especially in the posterior communicating artery, which was the most frequent artery found to be hy- Carotid artery rupture is not a common complication during neck surgery, but it does occur in several patients.We present a case of successful rescue after iatrogenic CCA rupture during metastatic lymph node dissection of thyroid papillary carcinoma. After moving the patient from the operating room to the interventional radiologic suite, the exposed artery was repaired using a covered stent. CASE REPORTA 31-year-old man who was 171 cm tall and weighed 85 kg -0003-1964-4546 Carotid artery rupture during head and neck surgery is a catastrophic, life-threatening emergency. Although recent incidence has declined, it still occurs in many patients. Hemorrhage from the carotid artery is usually massive and uncontrollable. Fast, aggressive treatment to prevent hemodynamic instability is required. Even if patients survive this event, they may experience severe neurological sequelae. A ruptured carotid artery is usually controlled by direct compression and arterial ligation. However, apart from the inherent difficulty of operation, these traditional surgical treatments are associated with high morbidity and mortality. In the past two decades, endovascular management has become a mainstay of carotid rupture treatment. We report a case of successful recovery without any sequelae after cardiovascular collapse due to an unintentional common carotid artery (CCA) rupture during neck surgery. The exposed CCA was treated with a covered stent. In such a case, multidisciplinary cooperation is crucial.