Unusual Case of an Idiopathic Thyrocervical Trunk Pseudoaneurysm: An Interesting Case Report.
| Autor: | Neris R; General Surgery, Trumbull Regional Medical Center, Warren, USA., De Camps Martinez ER; Internal Medicine, Trumbull Regional Medical Center, Warren, USA., Leon E; Internal Medicine, Hospital Plaza de la Salud, Santo Domingo, DOM., Encarnacion N; Vascular Surgery, Hospital Plaza de la Salud, Santo Domingo, DOM. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Oct 24; Vol. 16 (10), pp. e72273. Date of Electronic Publication: 2024 Oct 24 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.72273 |
| Abstrakt: | Thyrocervical trunk pseudoaneurysms are very rare and usually occur after trauma or invasive procedures. Given its location and nature, thyrocervical trunk pseudoaneurysm typically presents with symptoms at presentation. Those that occur spontaneously and without symptoms are even more uncommon. The management of thyrocervical trunk pseudoaneurysm can be done in three main ways: endovascular, open, or hybrid (endovascular and open). This case report describes a 71-year-old male Hispanic patient who presented to the vascular surgery clinic with a left supraclavicular mass that he noticed 12 years ago. There was no significant past medical history or history of neck surgery/interventions. Besides the pulsatile mass, the patient did not endorse any other complaints. A duplex ultrasound (DUS) was obtained, and it was consistent with a pseudoaneurysm. A neck computed tomography angiogram (CTA) was subsequently obtained and confirmed the large (6.1×4.6×5 cm) pseudoaneurysm at the root of the left thyrocervical trunk. The decision was made to take him to the operating room. Using an open approach, the left thyrocervical trunk was dissected, and the pseudoaneurysm was exposed. The pseudoaneurysm was then resected, and a primary anastomosis of the vessel was performed. The patient tolerated the procedure well without complications. He was discharged on post-operative day 2 in stable condition. Short-term follow-up demonstrated no left supraclavicular mass recurrence on physical examination. The surgical incision is healing well. Thyrocervical trunk pseudoaneurysms are rare entities that can be detrimental to the patient if not treated optimally. Even if the patient remains asymptomatic or relatively asymptomatic, the incidence of embolization, thrombosis, or rupture is high. Open vascular intervention is recommended when the root of the trunk is involved. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: Two of the article's authors are from a different institution. The rationale behind this is that they were interested in creating an interesting vascular case report, and we decided to do it in collaboration. After reviewing multiple cases together from both institutions, this article was chosen. Without their support, research, and ideas, this article would not be possible. (Copyright © 2024, Neris et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|