Management of double carotid blowout with definitive repair after temporizing stent graft placement

Alexandra T. Cocca, Brittany E. Levy, Jennifer T. Castle, Wesley S. Wilt, Mark D. Fleming, Alexandra E. Kejner, Rony K. Aouad, Samuel C. Tyagi

Research output: Contribution to journalArticlepeer-review

Abstract

Carotid blowout syndrome is a life-threatening complication for patients with head and neck cancer. Temporizing stent graft procedures improve short-term survival and can be the definitive treatment for various reasons, including a poor oncologic prognosis, unsuitability for definitive reconstruction, or a lack of operative options. A second carotid blowout will often be fatal. Preventing such events requires multidisciplinary strategic planning because of a hostile reoperative field. We have described a case of a 44-year-old man with a history of laryngeal cancer who had experienced a carotid blowout. Treated with a stent graft, the patient had experienced a second event 6 weeks later. Treatment involved excision and suture ligation with rotational muscle flap coverage.

Original languageEnglish
Pages (from-to)606-609
Number of pages4
JournalJournal of Vascular Surgery Cases, Innovations and Techniques
Volume8
Issue number4
DOIs
StatePublished - Dec 2022

Bibliographical note

Funding Information:
The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.

Publisher Copyright:
© 2022

Keywords

  • Carotid blowout
  • Carotid ligation
  • Laryngeal cancer
  • Stent graft

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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