Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery

Piotr Sumislawski; Carolin Ludwig; Roman Rotermund; Ulrich Grzyska; Jörg Flitsch

doi:10.1093/jscr/rjab146

Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery

Standard

Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery. / Sumislawski, Piotr; Ludwig, Carolin; Rotermund, Roman; Grzyska, Ulrich; Flitsch, Jörg.

In: J SURG CASE REP, Vol. 2021, No. 4, 04.2021, p. rjab146.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Sumislawski, P, Ludwig, C, Rotermund, R, Grzyska, U & Flitsch, J 2021, 'Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery', J SURG CASE REP, vol. 2021, no. 4, pp. rjab146. https://doi.org/10.1093/jscr/rjab146

APA

Sumislawski, P., Ludwig, C., Rotermund, R., Grzyska, U., & Flitsch, J. (2021). Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery. J SURG CASE REP, 2021(4), rjab146. https://doi.org/10.1093/jscr/rjab146

Vancouver

Sumislawski P, Ludwig C, Rotermund R, Grzyska U, Flitsch J. Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery. J SURG CASE REP. 2021 Apr;2021(4):rjab146. https://doi.org/10.1093/jscr/rjab146

Bibtex

@article{05c01ffcbe0f407bb0bb87911a2a87b7,

title = "Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery",

abstract = "False aneurysm of internal carotid artery (ICA) is a rare but serious vascular complication observed after transsphenoidal pituitary surgery. Here, we present a 41-year-old woman with a pseudoaneurysm in the ophthalmic1 segment of the left ICA after exoscopic transsphenoidal pituitary surgery. The initially uneventful procedure was complicated by a subarachnoidal hemorrhage 10 days after the surgery, which was confirmed by cranial computed tomography scan. The emergency angiography revealed a pseudoaneurysm of the ophthalmic1 part of the left ICA. Despite repeated endovascular treatments with a flow diverter and coiling, the patient experienced a re-bleeding with consecutive vasospasms, occlusion hydrocephalus and finally bifrontal intracerebral hemorrhage with fatal outcome. As a conclusion in irregular post-operative courses with for example headache, a post-operative magnetic resonance imaging with vessel presentation using TOF sequence and contrast-enhanced MRA might be recommended in order to detect a possible pseudoaneurysm in an early stage.",

author = "Piotr Sumislawski and Carolin Ludwig and Roman Rotermund and Ulrich Grzyska and J{\"o}rg Flitsch",

year = "2021",

month = apr,

doi = "10.1093/jscr/rjab146",

language = "English",

volume = "2021",

pages = "rjab146",

journal = "J SURG CASE REP",

issn = "2042-8812",

publisher = "Oxford University Press",

number = "4",

}

RIS

TY - JOUR

T1 - Internal carotid artery false aneurysm as a fatal complication of transsphenoidal surgery

AU - Sumislawski, Piotr

AU - Ludwig, Carolin

AU - Rotermund, Roman

AU - Grzyska, Ulrich

AU - Flitsch, Jörg

PY - 2021/4

Y1 - 2021/4

N2 - False aneurysm of internal carotid artery (ICA) is a rare but serious vascular complication observed after transsphenoidal pituitary surgery. Here, we present a 41-year-old woman with a pseudoaneurysm in the ophthalmic1 segment of the left ICA after exoscopic transsphenoidal pituitary surgery. The initially uneventful procedure was complicated by a subarachnoidal hemorrhage 10 days after the surgery, which was confirmed by cranial computed tomography scan. The emergency angiography revealed a pseudoaneurysm of the ophthalmic1 part of the left ICA. Despite repeated endovascular treatments with a flow diverter and coiling, the patient experienced a re-bleeding with consecutive vasospasms, occlusion hydrocephalus and finally bifrontal intracerebral hemorrhage with fatal outcome. As a conclusion in irregular post-operative courses with for example headache, a post-operative magnetic resonance imaging with vessel presentation using TOF sequence and contrast-enhanced MRA might be recommended in order to detect a possible pseudoaneurysm in an early stage.

AB - False aneurysm of internal carotid artery (ICA) is a rare but serious vascular complication observed after transsphenoidal pituitary surgery. Here, we present a 41-year-old woman with a pseudoaneurysm in the ophthalmic1 segment of the left ICA after exoscopic transsphenoidal pituitary surgery. The initially uneventful procedure was complicated by a subarachnoidal hemorrhage 10 days after the surgery, which was confirmed by cranial computed tomography scan. The emergency angiography revealed a pseudoaneurysm of the ophthalmic1 part of the left ICA. Despite repeated endovascular treatments with a flow diverter and coiling, the patient experienced a re-bleeding with consecutive vasospasms, occlusion hydrocephalus and finally bifrontal intracerebral hemorrhage with fatal outcome. As a conclusion in irregular post-operative courses with for example headache, a post-operative magnetic resonance imaging with vessel presentation using TOF sequence and contrast-enhanced MRA might be recommended in order to detect a possible pseudoaneurysm in an early stage.

U2 - 10.1093/jscr/rjab146

DO - 10.1093/jscr/rjab146

M3 - SCORING: Journal article

C2 - 33927876

VL - 2021

SP - rjab146

JO - J SURG CASE REP

JF - J SURG CASE REP

SN - 2042-8812

IS - 4

ER -