An aberrant carotid artery in the temporal bone with fatal complication

Yurika Kimura; Nao Makino; Hitome Kobayashi; Ken Kitamura

doi:10.1016/j.anl.2015.10.013

An aberrant carotid artery in the temporal bone with fatal complication

Auris Nasus Larynx. 2016 Jun;43(3):350-2. doi: 10.1016/j.anl.2015.10.013. Epub 2015 Nov 19.

Authors

Yurika Kimura¹, Nao Makino², Hitome Kobayashi³, Ken Kitamura⁴

Affiliations

¹ Department of Otolaryngology, Showa University, Shinagawa-ku, Tokyo, Japan; Department of Otolaryngology, Tokyo Geriatric Medical Hospital, Itabashi-ku, Japan. Electronic address: yurika.oto@med.showa-u.ac.jp.
² Oimach ENT Clinic, Shinagawa-ku, Tokyo, Japan.
³ Department of Otolaryngology, Showa University, Shinagawa-ku, Tokyo, Japan.
⁴ Shonan University of Medical Sciences, Yokohama, Kanagawa, Japan.

PMID: 26602434
DOI: 10.1016/j.anl.2015.10.013

Abstract

We report the case of an 84-year-old female presenting with an aberrant ICA with cerebral air embolization caused by Eustachian tube air inflation (ETAI). High pressure of air inflation developed because of an aberrant ICA blocking the tympanic orifice of the Eustachian tube, with release of the high-pressure air into the aberrant ICA. It must be kept in mind that complications may occur not only during transtympanic treatment, but also in any treatment, such as ETAI, in aberrant ICA cases.

Keywords: Aberrant internal carotid artery; Eustachian tube air inflation; Temporal bone.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Carotid Artery, Internal / abnormalities*
Embolism, Air / etiology*
Eustachian Tube / surgery*
Fatal Outcome
Female
Humans
Intracranial Embolism / etiology*
Otologic Surgical Procedures / adverse effects*
Temporal Bone / abnormalities*
Tinnitus / surgery*
Tomography, X-Ray Computed