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Giant Arteriovenous Malformation of the Neck.

Dieng PA, Ba PS, Gaye M, Diatta S, Diop MS, Sene E, Ciss AG, Ndiaye A, Ndiaye M - Case Rep Vasc Med (2015)

Bottom Line: In postoperative period the patient presented a peripheral facial paralysis which completely decreased within 10 days.The first ligation of the external carotid reduces significantly the blood flow into the AVM.It permitted secondarily the complete ablation of the AVM without major bleeding even though multiple ligations were done.

View Article: PubMed Central - PubMed

Affiliation: Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier National Universitaire de Fann, Dakar, Senegal.

ABSTRACT
Arteriovenous malformations (AVM) have a wide range of clinical presentations. Operative bleeding is one of the most hazardous complications in the surgical management of high-flow vascular malformations. In the cervical region, the presence of vital vascular structures, such as the carotid artery and jugular vein, may increase this risk. This is a case of massive arteriovenous malformation deforming the neck and the face aspect of this aged lady and growing for several years. A giant mass of the left neck occupied the carotid region and the subclavian region. The AVM was developed between the carotid arteries, jugular veins, and vertebral and subclavian vessels, with arterial and venous flux. The patient underwent surgery twice for the cure of that AVM. The first step was the ligation of the external carotid. Seven days later, the excision of the mass was done. In postoperative period the patient presented a peripheral facial paralysis which completely decreased within 10 days. The first ligation of the external carotid reduces significantly the blood flow into the AVM. It permitted secondarily the complete ablation of the AVM without major bleeding even though multiple ligations were done.

No MeSH data available.


Related in: MedlinePlus

Operative view of the external carotid artery connected to AVM.
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fig6: Operative view of the external carotid artery connected to AVM.

Mentions: Seven days later, the excision of the mass was scheduled. The arteriovenous malformation was exposed over left longitudinal cervicotomy. The left carotids were dissected as well the jugular vein which was dilated and aneurysmal. More than 50 vessels were identified and ligated. Some of them measured more than 3 mm. They joined the mass to the left external carotid, the external and internal jugular veins, the left subclavian artery and vein, and the left vertebral artery and vein. After these vessels ligation, the mass was completely excised without major bleeding (Figure 6). Hemodynamic status did not need a blood transfusion.


Giant Arteriovenous Malformation of the Neck.

Dieng PA, Ba PS, Gaye M, Diatta S, Diop MS, Sene E, Ciss AG, Ndiaye A, Ndiaye M - Case Rep Vasc Med (2015)

Operative view of the external carotid artery connected to AVM.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4546949&req=5

fig6: Operative view of the external carotid artery connected to AVM.
Mentions: Seven days later, the excision of the mass was scheduled. The arteriovenous malformation was exposed over left longitudinal cervicotomy. The left carotids were dissected as well the jugular vein which was dilated and aneurysmal. More than 50 vessels were identified and ligated. Some of them measured more than 3 mm. They joined the mass to the left external carotid, the external and internal jugular veins, the left subclavian artery and vein, and the left vertebral artery and vein. After these vessels ligation, the mass was completely excised without major bleeding (Figure 6). Hemodynamic status did not need a blood transfusion.

Bottom Line: In postoperative period the patient presented a peripheral facial paralysis which completely decreased within 10 days.The first ligation of the external carotid reduces significantly the blood flow into the AVM.It permitted secondarily the complete ablation of the AVM without major bleeding even though multiple ligations were done.

View Article: PubMed Central - PubMed

Affiliation: Service de Chirurgie Thoracique et Cardiovasculaire, Centre Hospitalier National Universitaire de Fann, Dakar, Senegal.

ABSTRACT
Arteriovenous malformations (AVM) have a wide range of clinical presentations. Operative bleeding is one of the most hazardous complications in the surgical management of high-flow vascular malformations. In the cervical region, the presence of vital vascular structures, such as the carotid artery and jugular vein, may increase this risk. This is a case of massive arteriovenous malformation deforming the neck and the face aspect of this aged lady and growing for several years. A giant mass of the left neck occupied the carotid region and the subclavian region. The AVM was developed between the carotid arteries, jugular veins, and vertebral and subclavian vessels, with arterial and venous flux. The patient underwent surgery twice for the cure of that AVM. The first step was the ligation of the external carotid. Seven days later, the excision of the mass was done. In postoperative period the patient presented a peripheral facial paralysis which completely decreased within 10 days. The first ligation of the external carotid reduces significantly the blood flow into the AVM. It permitted secondarily the complete ablation of the AVM without major bleeding even though multiple ligations were done.

No MeSH data available.


Related in: MedlinePlus