颈动脉破裂进入气管：罕见情况及出乎意料的处理结果。
Carotid blowout into the trachea: unusual entity with unexpected management outcome.
发表日期：2023 Aug 02
作者：
Ahmed Awad, Koustav Pal, Anastasios Maniakas, Mark Zafereo, Horiana Grosu, Maria Cabanillas, Stephen R Chen
来源：
Journal of NeuroInterventional Surgery
摘要：
本文报告了患有侵袭性甲状腺癌病史的患者的个案。该患者经手术、化疗和颈部放疗进行管理。一年后，患者出现咯血症状。经支气管内超声检查显示患者有搏动的血管；然而，CT扫描和传统的血管造影结果均为阴性。三天后，再次进行血管造影发现伪动脉瘤起源于右主颈动脉。在通过气球测试闭塞后，患者进行了颈动脉破坏治疗。三年后，患者出现线圈疝入气管的情况。为防止线圈取出后再出血，封堵器被用来关闭颈动脉残端。四个月后，患者出现顽固性咳嗽，通过喉镜辅助去除残留的线圈。本个案报告讨论了颈动脉破裂进入气管的罕见情况及随后的病程。
We present a case report of a patient with a history of aggressive thyroid cancer managed by surgery, chemotherapy, and radiation to the neck. A year later, he presented with hemoptysis. Endobronchial ultrasound showed a pulsatile vessel; however, a CT scan and conventional angiogram were negative. Three days later, a repeat angiogram revealed a pseudoaneurysm arising from the right common carotid artery. Carotid sacrifice was performed after passing balloon test occlusion. Three years later the patient presented with coil herniation into the trachea. The carotid stump was closed with a vascular plug to prevent rebleeding from coil removal. Four months later the patient experienced an intractable cough and underwent laryngoscopy-assisted removal of the residual coil mass. This case report discusses the rare scenario of a carotid blowout into the trachea and the subsequent course of events.© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.