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Common carotid artery pseudoaneurysm after neck dissection: colour Doppler ultrasound and multidetector computed tomography findings

Published online by Cambridge University Press:  04 December 2006

N Flor ,
F Sardanelli ,
G Ghilardi ,
A Tentori ,
G Franceschelli ,
G Felisati  and
G P Cornalba
N Flor
Affiliation:
Department of Diagnostic and Interventional Radiology, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy
F Sardanelli
Affiliation:
Department of Medical and Surgical Sciences, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy. Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS) Policlinico San Donato, Unit of Radiology, San Donato Milanese, Milan, Italy.
G Ghilardi
Affiliation:
Department of Vascular Surgery, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy
A Tentori
Affiliation:
Department of Diagnostic and Interventional Radiology, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy
G Franceschelli
Affiliation:
Department of Diagnostic and Interventional Radiology, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy
G Felisati
Affiliation:
Otolaryngology, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy
G P Cornalba
Affiliation:
Department of Diagnostic and Interventional Radiology, University of Milan School of Medicine, San Paolo Hospital, San Donato Milanese, Milan Italy
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Abstract

Common carotid artery pseudoaneurysm is a rare disease, which has been previously unreported in association with neck dissection. We describe the Doppler ultrasound and multidetector computed tomography (CT) findings of a case of carotid pseudoaneurysm, one month after pharyngolaryngectomy with bilateral neck dissection. Multidetector CT confirmed the diagnosis made on the basis of Doppler ultrasound; the high image quality of axial and three-dimensional reconstructions avoided the need for pre-operative conventional angiography. In the presence of a pulsatile cervical mass after neck surgery, pseudoaneurysm of the carotid artery should be included in the differential diagnosis, and multidetector CT can be the sole pre-operative diagnostic imaging modality.

Keywords

False AneurysmInternal Carotid ArteryComputed TomographyColour Doppler Ultrasonography
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 5 , May 2007 , pp. 497 - 500
Copyright
2007 JLO (1984) Limited

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