PMC8254110_01
(A) Giant pseudoaneurysm arising from the extracranial left internal carotid artery. (B) Severe compression of the upper airway.
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The CTA showed a large pseudoaneurysm originating from the left ICA, approximately 2 cm above the bifurcation, that had extended to the entire retropharyngeal space with severe compression of the upper airway (Fig. 1).
(A) Covered stent deployed at the site of internal carotid artery (ICA) rupture. (B) Angiographic control revealing immediate sealing and patency of the ICA.
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City, CA, USA) balloon expanded stent was deployed to cover the carotid rupture without incident. Completion angiography showed immediate exclusion of the pseudoaneurysm and ICA patency (Fig. 2).
(A) Eight year and (B) 12 year follow up computed tomography angiograms confirm covered stent patency without significant restenosis.
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CTA performed at eight months and 12 years after surgery showed ICA patency, with correct placement of the covered stent without deformation or evidence of significant restenosis (Fig. 3).