Transverse Cervical Artery Pseudoaneurysm: An Unusual Delayed Complication of Radical Neck Dissection

  • Anup Singh
  • Rajeev KumarEmail author
  • Ashu Seith Bhalla
  • Ankur Goyal
  • Prem Sagar
Clinical Report


Pseudoaneurysm formation in the transverse cervical artery, post radical neck dissection, leading to massive hemorrhage, is a rare but life threatening occurrence. We report a patient with pseudoaneurysm of transverse cervical artery, post salvage radical neck dissection, presenting with recurrent and significant hemorrhage after 3 weeks of surgery. A pseudoaneurysm involving transverse cervical artery was revealed by digital subtraction angiography and treated by endovascular coil embolization.


Radical neck dissection Radiotherapy Pseudoaneurysm Transverse cervical artery Endovascular coiling 




Compliance with Ethical Standards

Conflict of interest


Informed Consent

Informed consent was obtained from the individual participants included in the study.

Human and Animal Rights Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


  1. 1.
    Krempl GA, Noorily AD (1996) Pseudoaneurysm of the descending palatine artery presenting as epistaxis. Otolaryngol Head Neck Surg 114:453–456CrossRefGoogle Scholar
  2. 2.
    Rhee CS, Jinn TH, Jung HW, Sung MW, Kim KH, Min YG (1999) Traumatic pseudoaneurysm of the external carotid artery with parotid mass and delayed facial nerve palsy. Otolaryngol Head Neck Surg 121:158–160CrossRefGoogle Scholar
  3. 3.
    Minion DJ, Lynch TG, Baxter BT, Lieberman R (1994) Pseudo- aneurysm of the external carotid artery following radical neck dissection and irradiation: a case report and review of the literature. Cardiovasc Surg 2:607–611PubMedGoogle Scholar
  4. 4.
    Okamura HO, Kamiyama R, Takiguchi Y, Kimizuka K, Ishikawa N, Kishimoto S (2002) Histopathological examination of ruptured carotid artery after irradiation. J Otorhinolaryngol Relat Spec 64:226–228CrossRefGoogle Scholar
  5. 5.
    Girishkumar HT, Sivakumar M, Andaz S, Santosh V, Solomon R, Brown M (1999) Pseudo-aneurysm of the carotid bifurcation secondary to radiation. J Cardiovasc Surg (Torino) 40:877–878Google Scholar
  6. 6.
    Nadig S, Barnwell S, Wax MK (2009) Pseudoaneurysm of the external carotid artery—review of literature. Head Neck 31:136–139CrossRefGoogle Scholar
  7. 7.
    Ernemann U, Herrmann C, Plontke S, Schäfer J, Plasswilm L, Skalej M (2003) Pseudoaneurysm of the superior thyroid artery following radiotherapy for hypopharyngeal cancer. Ann Otol Rhinol Laryngol 112:188–190CrossRefGoogle Scholar
  8. 8.
    Murono S, Nakanishi Y, Inoue D et al (2011) Pseudoaneurysm of the lingual artery after concurrent intra-arterial chemotherapy with radiotherapy for advanced tongue cancer. Head Neck 33:1230–1232CrossRefGoogle Scholar
  9. 9.
    Silva AC, O’Ryan F, Beckley ML et al (2007) Pseudoaneurysm of a branch of the maxillary artery following mandibular sagittal split ramus osteotomy: case report and review of the literature. J Oral Maxillofac Surg 65:1807–1816CrossRefGoogle Scholar
  10. 10.
    Hetts SW, Mong S, Sincic R et al (2012) Delayed transcutaneous extrusion of embolic coils after embolization of facial artery pseudoaneurysm. Interv Neuroradiol 18:353–357CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Anup Singh
    • 1
  • Rajeev Kumar
    • 1
    • 3
    Email author
  • Ashu Seith Bhalla
    • 2
  • Ankur Goyal
    • 2
  • Prem Sagar
    • 1
  1. 1.Department of Otorhinolaryngology and Head and Neck SurgeryAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of RadiodiagnosisAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.ENT Office, Room No. 4057, 4th Floor, Teaching BlockAll India Institute of Medical SciencesNew DelhiIndia

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