Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature
Introduction: Arteriovenous fistulas may be due to trauma or due to iatrogenic causes. These patients present with non specific symptoms such as high output heart failure years later after the development of the fistula. Formation of the fistula in an acute setting immediately after the trauma is a...
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2025-06-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687825000182 |
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| author | Ezaz Ahmed Aamir Mohammad Saifullah Khalid Syed Shamayal Rabbani Mohd Azam Haseen Areeba Khursheed |
| author_facet | Ezaz Ahmed Aamir Mohammad Saifullah Khalid Syed Shamayal Rabbani Mohd Azam Haseen Areeba Khursheed |
| author_sort | Ezaz Ahmed |
| collection | DOAJ |
| description | Introduction: Arteriovenous fistulas may be due to trauma or due to iatrogenic causes. These patients present with non specific symptoms such as high output heart failure years later after the development of the fistula. Formation of the fistula in an acute setting immediately after the trauma is a rare occurrence. Here we present a case of a 19 year old boy who presented with a fistula a few hours after the trauma. Case Summary: A 19 year old boy with history of firearm injury to the left side of the neck presented with a palpable thrill and an audible bruit over the site of injury. CT Angiography was done which showed multiple pseudo aneurysms arising from the left common carotid artery(CCA) and a communication with the adjacent internal jugular vein(IJV). Endovascular embolisation of the fistula was done and a stent was placed across the fistula. On check angiography, no fistulous communication was noted between the left CCA and IJV post procedure and the patient was discharged under stable conditions. Conclusion: Traumatic AVFs involving the common carotid artery and internal jugular veins is not uncommon but usually presents after a period of time with added morbidity, and has been not been reported frequently. Also, the fistulas present much later unlike in this case report which presented very early. Ultrasound or CT angiogram may aid in diagnosis. However, conventional angiogram is the gold standard for diagnosis with interventional techniques available for managing these high flow fistulas with a good technical success and acceptable safety profile. |
| format | Article |
| id | doaj-art-c51d43e34143408b86d9eac47daeca5f |
| institution | Kabale University |
| issn | 2772-6878 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj-art-c51d43e34143408b86d9eac47daeca5f2025-08-20T03:45:11ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782025-06-015210037710.1016/j.avsurg.2025.100377Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literatureEzaz Ahmed0Aamir Mohammad1Saifullah Khalid2Syed Shamayal Rabbani3Mohd Azam Haseen4Areeba Khursheed5Department of Surgery, JNMCH, AMU, Aligarh 202002, Uttar Pradesh, IndiaDepartment of CTVS, JNMCH, AMU, Aligarh 202002, Uttar Pradesh, India; Corresponding author.Department of Radiodiagnosis, JNMCH, AMU, ALigarh 202002, Uttar Pradesh, IndiaDepartment of CTVS, JNMCH, AMU, Aligarh 202002, Uttar Pradesh, IndiaDepartment of CTVS, JNMCH, AMU, Aligarh 202002, Uttar Pradesh, IndiaDepartment of Surgery, JNMCH, AMU, Aligarh 202002, Uttar Pradesh, IndiaIntroduction: Arteriovenous fistulas may be due to trauma or due to iatrogenic causes. These patients present with non specific symptoms such as high output heart failure years later after the development of the fistula. Formation of the fistula in an acute setting immediately after the trauma is a rare occurrence. Here we present a case of a 19 year old boy who presented with a fistula a few hours after the trauma. Case Summary: A 19 year old boy with history of firearm injury to the left side of the neck presented with a palpable thrill and an audible bruit over the site of injury. CT Angiography was done which showed multiple pseudo aneurysms arising from the left common carotid artery(CCA) and a communication with the adjacent internal jugular vein(IJV). Endovascular embolisation of the fistula was done and a stent was placed across the fistula. On check angiography, no fistulous communication was noted between the left CCA and IJV post procedure and the patient was discharged under stable conditions. Conclusion: Traumatic AVFs involving the common carotid artery and internal jugular veins is not uncommon but usually presents after a period of time with added morbidity, and has been not been reported frequently. Also, the fistulas present much later unlike in this case report which presented very early. Ultrasound or CT angiogram may aid in diagnosis. However, conventional angiogram is the gold standard for diagnosis with interventional techniques available for managing these high flow fistulas with a good technical success and acceptable safety profile.http://www.sciencedirect.com/science/article/pii/S2772687825000182Rteriovenous fistulaCommon carotid arteryInternal jugular veinEndovascular embolisationCT angiography |
| spellingShingle | Ezaz Ahmed Aamir Mohammad Saifullah Khalid Syed Shamayal Rabbani Mohd Azam Haseen Areeba Khursheed Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature Annals of Vascular Surgery - Brief Reports and Innovations Rteriovenous fistula Common carotid artery Internal jugular vein Endovascular embolisation CT angiography |
| title | Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature |
| title_full | Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature |
| title_fullStr | Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature |
| title_full_unstemmed | Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature |
| title_short | Traumatic common carotid artery-internal jugular vein fistula in an acute setting: A case report with review of literature |
| title_sort | traumatic common carotid artery internal jugular vein fistula in an acute setting a case report with review of literature |
| topic | Rteriovenous fistula Common carotid artery Internal jugular vein Endovascular embolisation CT angiography |
| url | http://www.sciencedirect.com/science/article/pii/S2772687825000182 |
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