Pseudoaneurysm of the internal carotid artery secondary to tonsillectomy

• Published in: International journal of pediatric otorhinolaryngology Vol. 13; no. 1; pp. 69 - 75
• Main Authors: Tovi, Ferit, Leiberman, Alberto, Herizanu, Yanko, Golcman, Louis
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ireland Ltd 01.06.1987; Elsevier
• Subjects: Adolescent; Aneurysm - diagnostic imaging; Aneurysm - etiology; Aneurysm - surgery; Biological and medical sciences; Carotid Artery Diseases - diagnostic imaging; Carotid Artery Diseases - etiology; Carotid Artery Diseases - surgery; Carotid Artery, Internal - diagnostic imaging; Carotid Artery, Internal - surgery; Complication of tonsillectomy; Female; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Internal carotid artery; Medical sciences; Pseudoaneurysm; Steel coil; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Tomography, X-Ray Computed; Tonsillectomy - adverse effects; Complication of tonsillectomy; Internal carotid artery; Pseudoaneurysm; Steel coil; Human; Postoperative; Carotid angiography; Oral cavity; Internal carotid; False aneurysm; Tonsillectomy; Surgery; Adolescent; Complication; ENT disease
• ISSN: 0165-5876; 1872-8464
• DOI: 10.1016/0165-5876(87)90009-7

A case of pseudoaneurysm of the cervical internal carotid artery secondary to tonsillectomy is presented and the pathogenesis of this vascular abnormality is discussed. Due to morphologic and inflammatory changes in the lateral pharyngeal wall, the entrapment aneurysm was maintained. The internal carotid artery was initially occluded above the carotid bifurcation. The transcatheter occlusion of the distal stump of this vessel, by steel coils, replaced a mutilating approach for exposure and ligation near the base of the skull.