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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428722001952 |
| _version_ | 1828085504696909824 |
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| author | Ali Hakimi, BS Christina Stuart, MD Devin Zarkowsky, MD Michael R. Clay, MD Jeniann Yi, MD, MSCS |
| author_facet | Ali Hakimi, BS Christina Stuart, MD Devin Zarkowsky, MD Michael R. Clay, MD Jeniann Yi, MD, MSCS |
| author_sort | Ali Hakimi, BS |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T04:41:09Z |
| format | Article |
| id | doaj.art-499f6eeb76e64310a0684aa0cabc07c1 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-11T04:41:09Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-499f6eeb76e64310a0684aa0cabc07c12022-12-28T04:19:01ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-12-0184715718Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patientAli Hakimi, BS0Christina Stuart, MD1Devin Zarkowsky, MD2Michael R. Clay, MD3Jeniann Yi, MD, MSCS4University of Colorado Anschutz School of Medicine, Aurora, CO; Correspondence: Ali Hakimi, BS, Department of Vascular Surgery, University of Colorado Anschutz Medical Campus School of Medicine, 13001 E 17th Pl, Aurora, CO 80045Department of Surgery, University of Colorado Anschutz School of Medicine, Aurora, CODivision of Vascular Surgery, Foothill Regional Medical Center, Newport Beach, CADepartment of Pathology, University of Colorado Anschutz School of Medicine, Aurora, CODivision of Vascular Surgery and Endovascular Therapy, University of Colorado Anschutz School of Medicine, Aurora, COCarotid 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.http://www.sciencedirect.com/science/article/pii/S2468428722001952Carotid blowout (CB)Carotid blowout syndrome (CBS)Cytomegalovirus (CMV)Chronic immunosuppressionTransplant |
| spellingShingle | Ali Hakimi, BS Christina Stuart, MD Devin Zarkowsky, MD Michael R. Clay, MD Jeniann Yi, MD, MSCS Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient Journal of Vascular Surgery Cases and Innovative Techniques Carotid blowout (CB) Carotid blowout syndrome (CBS) Cytomegalovirus (CMV) Chronic immunosuppression Transplant |
| title | Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient |
| title_full | Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient |
| title_fullStr | Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient |
| title_full_unstemmed | Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient |
| title_short | Spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient |
| title_sort | spontaneous carotid blowout of the common carotid artery in a chronically immunosuppressed transplant patient |
| topic | Carotid blowout (CB) Carotid blowout syndrome (CBS) Cytomegalovirus (CMV) Chronic immunosuppression Transplant |
| url | http://www.sciencedirect.com/science/article/pii/S2468428722001952 |
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