Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient

Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient

Carotid blowout (CB) is a life-threatening surgical emergency with a mortality rate of up to 60%. CB is commonly seen in head and neck cancer patients after surgical and radiation therapy; other causes include iatrogenic, traumatic, or infectious etiologies. We report an unusual case of spontaneous...

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Bibliographic Details
Main Authors: Ali Hakimi, BS, Christina Stuart, MD, Devin Zarkowsky, MD, Michael R. Clay, MD, Jeniann Yi, MD, MSCS
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Carotid blowout (CB)
Carotid blowout syndrome (CBS)
Cytomegalovirus (CMV)
Chronic immunosuppression
Transplant
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428722001952
Description
Summary:Carotid blowout (CB) is a life-threatening surgical emergency with a mortality rate of up to 60%. CB is commonly seen in head and neck cancer patients after surgical and radiation therapy; other causes include iatrogenic, traumatic, or infectious etiologies. We report an unusual case of spontaneous CB presumed to be caused by cytomegalovirus (CMV) in a chronically immunosuppressed transplant recipient. Given the significant mortality of CB and the prevalence of post-transplant CMV, this case highlights an area of further investigation regarding the association between CMV and carotid pathology, as well as the need to include CB as a potential infectious complication in the immunosuppressed population.
ISSN:2468-4287

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