Spontaneous rupture of the common carotid artery presenting as a widened mediastinum

Spontaneous rupture of the common carotid artery presenting as a widened mediastinum

Spontaneous rupture of the common carotid artery is an extremely rare disorder. Presentation in an elderly gentleman as a widened mediastinum with cardiac compromise has not been previously reported. Emergency surgical exploration to decompress the airway revealed a 5-mm tear just proximal to the le...

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Veröffentlicht in:European journal of cardio-thoracic surgery 1999-11, Vol.16 (5), p.582-583
Hauptverfasser: Rahman, Sakhawat H., -Rehman, Muzhar-Ur, Thorpe, James A.C.
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Aged, 80 and over
Biological and medical sciences
Carotid
Carotid Artery Diseases - diagnosis
Carotid Artery Diseases - surgery
Carotid Artery, Common
Diagnosis, Differential
Fatal Outcome
Haematoma
Hematoma - diagnosis
Hematoma - surgery
Humans
Male
Mediastinal Diseases - diagnosis
Mediastinal Diseases - diagnostic imaging
Medical sciences
Neurology
Para-oesophageal
Rupture
Rupture, Spontaneous - diagnosis
Rupture, Spontaneous - surgery
Tomography, X-Ray Computed
Vascular diseases and vascular malformations of the nervous system
Vascular Surgical Procedures - methods
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Beschreibung
Zusammenfassung:Spontaneous rupture of the common carotid artery is an extremely rare disorder. Presentation in an elderly gentleman as a widened mediastinum with cardiac compromise has not been previously reported. Emergency surgical exploration to decompress the airway revealed a 5-mm tear just proximal to the left common carotid artery bifurcation and a large para-oesophageal haematoma. The case is reviewed and the possible causes discussed.
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(99)00314-0