Surgical repair of a traumatic carotid-jugular arteriovenous fistula

Penetrating neck injuries can be life threatening. In about 25% of cases there are vascular injuries, which can progress to formation of arteriovenous fistulas. The authors present a case of delayed open surgery to repair a carotid-jugular fistula and briefly review the diagnosis and treatment options for this condition.

Keywords:
arteriovenous fistula; wounds and injuries; jugular vein; carotid artery

Authorship

Adenauer Marinho de Oliveira Góes Junior

Universidade Federal do Pará (UFPA), Belém, PA, Brasil.Universidade Federal do ParáBrasilBelém, PA, BrasilUniversidade Federal do Pará (UFPA), Belém, PA, Brasil.

http://orcid.org/0000-0001-9345-9539

Salim Abdon Haber Jeha Neto

Universidade Federal do Pará (UFPA), Belém, PA, Brasil.Universidade Federal do ParáBrasilBelém, PA, BrasilUniversidade Federal do Pará (UFPA), Belém, PA, Brasil.

http://orcid.org/0000-0002-9549-8782

Daniela Vale Dias

Universidade Federal do Pará (UFPA), Belém, PA, Brasil.Universidade Federal do ParáBrasilBelém, PA, BrasilUniversidade Federal do Pará (UFPA), Belém, PA, Brasil.

http://orcid.org/0000-0002-7499-7902

Juliana Medley Torres Ferreira

Universidade Federal do Pará (UFPA), Belém, PA, Brasil.Universidade Federal do ParáBrasilBelém, PA, BrasilUniversidade Federal do Pará (UFPA), Belém, PA, Brasil.

http://orcid.org/0000-0002-4692-2989

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

CorrespondenceJuliana Medley Torres Ferreira Faculdade de Medicina, Instituto de Ciências da Saúde, Universidade Federal do Pará Av. Almirante Barroso, 2010/201 CEP 66093-907 - Belém (PA), Brasil Tel.: +55 (91) 98931-4034 E-mail: j.meedley@gmail.com

Author informationAMOGJ - MD, board certified in Cirurgia Vascular, Sociedade Brasileira de Angiologia e Cirurgia Vascular, Associação Médica Brasileira (SBACV-AMB); MSc and PhD in Cirurgia, Universidade Federal de São Paulo (UNIFESP); Professor, Faculdade de Medicina, Universidade Federal do Pará (UFPA); Full member, Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV). SAHJN - MD, board certified in Cirurgia Vascular, Sociedade Brasileira de Angiologia e Cirurgia Vascular, Associação Médica Brasileira (SBACV-AMB); Professor, Faculdade de Medicina, Universidade Federal do Pará (UFPA); Full member, Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV). DVD and JMTF - Medical student, Universidade Federal do Pará (UFPA).

Author contributionsConception and design: AMOGJ Analysis and interpretation: AMOGJ, SAHJN, DVD, JMTF Data collection: AMOGJ Writing the article: AMOGJ, SAHJN, DVD, JMTF Critical revision of the article: AMOGJ Final approval of the article*: AMOGJ, SAHJN, DVD, JMTF Statistical analysis: N/A Overall responsibility: AMOGJ *All authors have read and approved of the final version of the article submitted to J Vasc Bras.

SCIMAGO INSTITUTIONS RANKINGS

Universidade Federal do Pará (UFPA), Belém, PA, Brasil.Universidade Federal do ParáBrasilBelém, PA, BrasilUniversidade Federal do Pará (UFPA), Belém, PA, Brasil.

Figures

Figures (3)

Thumbnail

Figure 1
Preoperative examinations. A) Computed tomography of the neck (axial slice); B) volumetric rendering; C) selective arteriography of the right common carotid (lateral view). Smaller arrow: arteriovenous fistula; larger arrow: carotid pseudoaneurysm; * right external jugular; c: left common carotid, j: left internal jugular.

Thumbnail

Figure 2
Intraoperative images. A) Before repair of the injury and B) after repair. Larger arrow: carotid pseudoaneurysm; f: arteriovenous fistula; * right external jugular vein graft; c: right common carotid, j: right internal jugular; n: repair of hypoglossal nerve.

Thumbnail

Figure 3
Computed tomography of the neck (volumetric rendering) in 18th postoperative month. * right external jugular vein graft; c: right common carotid, the arrows indicate the proximal and distal anastomoses.

Figure 1 Preoperative examinations. A) Computed tomography of the neck (axial slice); B) volumetric rendering; C) selective arteriography of the right common carotid (lateral view). Smaller arrow: arteriovenous fistula; larger arrow: carotid pseudoaneurysm; * right external jugular; c: left common carotid, j: left internal jugular.

Figure 2 Intraoperative images. A) Before repair of the injury and B) after repair. Larger arrow: carotid pseudoaneurysm; f: arteriovenous fistula; * right external jugular vein graft; c: right common carotid, j: right internal jugular; n: repair of hypoglossal nerve.

Figure 3 Computed tomography of the neck (volumetric rendering) in 18th postoperative month. * right external jugular vein graft; c: right common carotid, the arrows indicate the proximal and distal anastomoses.

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Surgical repair of a traumatic carotid-jugular arteriovenous fistula

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[1] Conflicts of interest: No conflicts of interest declared concerning the publication of this article.