Unforeseen Rupture of Pseudoaneurysm of Common Carotid Artery: An Arduous Anesthetic Challenge

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dc.contributor.authorDas, Devishreeen_US
dc.contributor.authorChauhan, Sandeeepen_US
dc.contributor.authorDas, Sambhunathen_US
dc.contributor.authorPraveen, Pen_US
dc.date.accessioned2023-07-14T08:00:23Z
dc.date.available2023-07-14T08:00:23Z
dc.date.issued2022-03
dc.description.abstractPseudoaneurysm of the common carotid artery (CCA) is exceptionally unstable and unpredictable; it mandates quick medical attention in order to circumvent neurologic sequelae or hemorrhage. Unanticipated rupture is extremely lethal and a potential provocation for the anesthesia caregiver. It is an arduous challenge for an anesthetist to establish emergency airway when a huge bleeding pseudoaneurysm is compressing and deviating the trachea, securing invasive lines in collapsing vessels, volume and vasopressor resuscitation in deteriorating hemodynamics in order to maintain cerebral perfusion without compromising other vital organs, arranging huge amount of blood and blood products in a short span of time, and transferring an exsanguinating patient for the rapid institution of cardiopulmonary bypass. Not only preoperatively it also necessitates appropriate neuromonitoring and neuroprotection during and after surgery. The association of unforeseen rupture of common carotid artery pseudoaneurysm secondary to the tubercular spine and lifesaving management by the rapid institution of cardiopulmonary bypass (CPB) is a rare occasion. To the best of the authors’ knowledge, there is not any similar case in the peer?reviewed literature. Therefore, the authors enumerate the clinical experience of an unexpected rupture of CCA pseudoaneurysm requiring lifesaving CPB and emphasize the “Timely Teamed Effort Approach” that can sustain a life in such an inevitable situation.en_US
dc.identifier.affiliationsDepartment of Cardiac Anaesthesia, Cardiothoracic Centre, CNC, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, Indiaen_US
dc.identifier.citationDas Devishree, Chauhan Sandeeep, Das Sambhunath, Praveen P. Unforeseen Rupture of Pseudoaneurysm of Common Carotid Artery: An Arduous Anesthetic Challenge. Annals of Cardiac Anaesthesia. 2022 Mar; 25(1): 119-122en_US
dc.identifier.issn0974-5181
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219193
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber1en_US
dc.relation.volume25en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_257_20en_US
dc.subjectAnesthetic challengeen_US
dc.subjectcardiopulmonary bypassen_US
dc.subjectcommon carotid arteryen_US
dc.subjectdeep hypothermic circulatory arresten_US
dc.subjectpseudoaneurysmen_US
dc.subjectunforeseen ruptureen_US
dc.titleUnforeseen Rupture of Pseudoaneurysm of Common Carotid Artery: An Arduous Anesthetic Challengeen_US
dc.typeJournal Articleen_US
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