Pseudoaneurisma de carótida comum secundário a trauma contuso: opção de tratamento por cirurgia a céu aberto

Abstract

Relato de caso de paciente feminina, com 44 anos de idade, vítima de trauma cervical em acidente de trânsito, que apresentou massa cervical dolorosa, rouquidão e disfagia associados, três semanas após o trauma. Exames complementares identificaram pseudoaneurisma de carótida comum em zona II. Optou-se pelo tratamento por meio de cirurgia convencional a céu aberto com excelente resultado imediato. Foi realizado um exame de controle após sete meses do procedimento cirúrgico, e os resultados confirmaram o sucesso terapêutico.

Endovascular treatment of iatrogenic penetrating trauma of the carotid artery: case report

“…It is known that carotid injuries involving the base of the neck are a challenge for surgeons. 1,2 The endovascular technique is a less invasive option, offering lower morbidity and mortality for treatment of carotid traumas and allowing preservation of the common carotid artery and cerebral flow, with the added advantage that it demands less time in surgery than conventional procedures. [7][8][9][10] In the literature we found reports of carotid traumas treated with a wide variety of endoprostheses, both self-expanding and balloon-expanded.…”

“…Despite advances in diagnostic and surgical techniques, carotid injuries at the base of the neck are still challenging for vascular and trauma surgeons. 1,2 Iatrogenic penetrating traumas of the carotid artery are very rare, but have been described in the literature. [3][4][5] The conventional approach to treating these cases is with open surgery.…”