Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Successful Interventional Management of Common Carotid Artery Rupture during Recurrent Parathyroid Cancer Surgery: A Case Report

재발한 부갑상선암 수술 중 발생한 총경동맥 파열의 성공적인 인터벤션 치료: 증례 보고

  • Ye Rin Hwang (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Seung Yeon Noh (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Se Hwan Kwon (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital) ;
  • Joo Hyeong Oh (Department of Radiology, College of Medicine, Kyung Hee University, Kyung Hee University Hospital)
  • 황예린 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 노승연 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 권세환 (경희대학교 의과대학 경희대학교병원 영상의학과) ;
  • 오주형 (경희대학교 의과대학 경희대학교병원 영상의학과)
  • Received : 2021.09.11
  • Accepted : 2021.12.09
  • Published : 2022.09.01
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Abstract

Common carotid artery (CCA) rupture during parathyroid cancer surgery is extremely rare and is generally life-threatening. We present a case of successful management of a ruptured CCA following the emergency placement of stent-graft in a 59-year-old male diagnosed with recurrent parathyroid cancer. During recurrent parathyroid cancer surgery, his right CCA ruptured unexpectedly, and his vital signs deteriorated rapidly despite surgical management. After stent replacement, his unstable vital signs improved and, thereafter, he was discharged without any complications.

부갑상선암 수술 중 발생하는 총경동맥 파열은 매우 드물고 생명을 위협하는 질환이다. 저자들은 재발한 부갑상선암을 가진 59세 남자 환자에서 파열된 총경동맥을 응급 피복형 스텐트 삽입을 통해 성공적으로 치료한 증례를 보고한다. 수술 도중 환자의 우측 총경동맥은 갑자기 파열되었고 수술적 대처에도 활력징후가 급속하게 악화되었으나 스텐트 삽입 후 호전되었고 합병증 없이 퇴원하였다.

Keywords

References

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