Multistep and Multidisciplinary Management for Post-irradiated Carotid Blowout Syndrome in a Young Patient With Oropharyngeal Carcinoma: A Case Report.

Abstract:

BACKGROUND:Carotid blowout syndrome is a severe complication of head and neck cancer, associated with high mortality and morbidity. METHODS:We present a case of acute hemorrhage from the carotid artery of a 59-year-old man with a history of chemoradiotherapy for lingual base and oropharyngeal squamous cell carcinoma. The case was managed by a staged multidisciplinary approach of open arterial reconstruction, after initial endovascular hemorrhage control using stent graft. RESULTS:The patient was discharged to home with patent carotid artery, no sign of infection or bleeding, and autonomous ambulation. A CT/PET scan performed 6 months later confirmed healing and absence of tumor recurrence. CONCLUSIONS:A multidisciplinary approach involving vascular surgeons, ENT surgeons, plastic and maxillofacial surgeons is particularly appropriate in the management of carotid blowout syndrome to warrant a durable and effective repair of all the anatomical structures involved.

journal_name

Ann Vasc Surg

authors

Sallustro M,Abualhin M,Faggioli G,Pilato A,Dall'Olio D,Simonetti L,Astarita F,Amorosa L,Gargiulo M

doi

10.1016/j.avsg.2020.02.023

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

565.e1-565.e5

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(20)30223-5

journal_volume

67

pub_type

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