Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization
A 59-year-old woman presented with advanced, symptomatic carotid artery stenosis in the setting of severe medical comorbidities including coronary artery disease, congestive heart failure with recent admission for exacerbation, and diabetes mellitus. She underwent awake transcarotid artery revascula...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-03-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428720300058 |
| _version_ | 1811327915777851392 |
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| author | Ross M. Clark, MD, MBA John A. Curci, MD |
| author_facet | Ross M. Clark, MD, MBA John A. Curci, MD |
| author_sort | Ross M. Clark, MD, MBA |
| collection | DOAJ |
| description | A 59-year-old woman presented with advanced, symptomatic carotid artery stenosis in the setting of severe medical comorbidities including coronary artery disease, congestive heart failure with recent admission for exacerbation, and diabetes mellitus. She underwent awake transcarotid artery revascularization because of her medically high-risk status. Postoperatively, she was noted to have developed pneumothorax, pneumomediastinum, and dysphonia, thought to be secondary to entrained air during the course of low neck dissection for carotid artery exposure in the setting of partial airway obstruction and high negative intrathoracic pressures during the procedure. After conservative treatment, she ultimately enjoyed complete clinical resolution. This case demonstrates an unusual complication of awake transcarotid artery revascularization. Keywords: Carotid artery stenosis, Carotid artery stenting, Transcarotid |
| first_indexed | 2024-04-13T15:16:25Z |
| format | Article |
| id | doaj.art-11bc3233fd294fdb82cef14ec40903d9 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-13T15:16:25Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-11bc3233fd294fdb82cef14ec40903d92022-12-22T02:41:51ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-03-0161133135Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularizationRoss M. Clark, MD, MBA0John A. Curci, MD1Division of Vascular Surgery, Vanderbilt University Medical Center, Nashville, TennCorrespondence: John A. Curci, MD, Division of Vascular Surgery, Vanderbilt University Medical Center, D-5237 Medical Center N, 1161 21st Ave S, Nashville, TN 37232-2735; Division of Vascular Surgery, Vanderbilt University Medical Center, Nashville, TennA 59-year-old woman presented with advanced, symptomatic carotid artery stenosis in the setting of severe medical comorbidities including coronary artery disease, congestive heart failure with recent admission for exacerbation, and diabetes mellitus. She underwent awake transcarotid artery revascularization because of her medically high-risk status. Postoperatively, she was noted to have developed pneumothorax, pneumomediastinum, and dysphonia, thought to be secondary to entrained air during the course of low neck dissection for carotid artery exposure in the setting of partial airway obstruction and high negative intrathoracic pressures during the procedure. After conservative treatment, she ultimately enjoyed complete clinical resolution. This case demonstrates an unusual complication of awake transcarotid artery revascularization. Keywords: Carotid artery stenosis, Carotid artery stenting, Transcarotidhttp://www.sciencedirect.com/science/article/pii/S2468428720300058 |
| spellingShingle | Ross M. Clark, MD, MBA John A. Curci, MD Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization Journal of Vascular Surgery Cases and Innovative Techniques |
| title | Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization |
| title_full | Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization |
| title_fullStr | Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization |
| title_full_unstemmed | Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization |
| title_short | Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization |
| title_sort | pneumothorax pneumomediastinum and dysphonia complicating awake transcarotid artery revascularization |
| url | http://www.sciencedirect.com/science/article/pii/S2468428720300058 |
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