{"id":5205,"date":"2025-10-17T15:34:17","date_gmt":"2025-10-17T13:34:17","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5205"},"modified":"2026-05-05T14:37:49","modified_gmt":"2026-05-05T12:37:49","slug":"cvja-2025-062","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-062\/","title":{"rendered":"Cutaneous rupture of infected carotid artery pseudoaneurysm following neck dissection and radiotherapy for thyroid cancer"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nK\u00fcbra G\u00f6za\u00e7\u0131k Karako\u00e7, Tamer Cebe                                                                                           \r\n        <\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                                                          \r\n                                                                                                                                                    \r\nWe report a case of a 72-year-old man with advanced thyroid cancer who presented with massive neck bleeding from a ruptured infected pseudoaneurysm of the left common carotid artery, following radical neck dissection and radiotherapy. Due to active haemorrhage, tissue infection, and haemodynamic instability, endovascular treatment was contraindicated. Emergency surgical ligation of the left common and internal carotid arteries was performed. Postoperative infection control was achieved with broad- spectrum antibiotics and wound care. The patient recovered without neurological deficits. Prompt recognition and surgical intervention can be lifesaving in infected carotid pseudoaneurysm rupture.\r\n<br \/>    \r\n                                                                                                          \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>Common carotid artery pseudoaneurysm, thyroid cancer, neck dissection, infection, rupture, surgical intervention<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> April 13, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> April 30, 2025; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> October 17, 2025<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>36<\/b>: 441-444<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 36, Issue 4<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-062<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Cardiovascular Surgery, Batman Training and Research Hospital, Batman, Turkey\r\n\r\n<\/strong>    <br \/>                                                                            \r\nK\u00fcbra G\u00f6za\u00e7\u0131k Karako\u00e7<br \/>\r\nTamer Cebe\r\n\r\n<br \/><br \/>\r\n                                                                                                                                                                                                                                        \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>We report a case of a 72-year-old man with advanced thyroid cancer who presented with massive neck bleeding from a ruptured infected pseudoaneurysm of the left common carotid artery, following radical neck dissection and radiotherapy. Due to active haemorrhage, tissue infection, and haemodynamic instability, endovascular treatment was contraindicated. Emergency surgical ligation of the left common and internal carotid arteries was performed. Postoperative infection control was achieved with broad- spectrum antibiotics and wound care. The patient recovered without neurological deficits. Prompt recognition and surgical intervention can be lifesaving in infected carotid pseudoaneurysm rupture.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56,108],"tags":[],"class_list":["post-5205","post","type-post","status-publish","format-standard","hentry","category-case-reports","category-volume-36-issue-4"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cutaneous rupture of infected carotid artery pseudoaneurysm following neck dissection and radiotherapy for thyroid cancer - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"We report a case of a 72-year-old man with advanced thyroid cancer who presented with massive neck bleeding from a ruptured infected pseudoaneurysm of the left common carotid artery, following radical neck dissection and radiotherapy. Due to active haemorrhage, tissue infection, and haemodynamic instability, endovascular treatment was contraindicated. Emergency surgical ligation of the left common and internal carotid arteries was performed. Postoperative infection control was achieved with broad- spectrum antibiotics and wound care. The patient recovered without neurological deficits. Prompt recognition and surgical intervention can be lifesaving in infected carotid pseudoaneurysm rupture.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2025-062\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cutaneous rupture of infected carotid artery pseudoaneurysm following neck dissection and radiotherapy for thyroid cancer - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"We report a case of a 72-year-old man with advanced thyroid cancer who presented with massive neck bleeding from a ruptured infected pseudoaneurysm of the left common carotid artery, following radical neck dissection and radiotherapy. Due to active haemorrhage, tissue infection, and haemodynamic instability, endovascular treatment was contraindicated. Emergency surgical ligation of the left common and internal carotid arteries was performed. Postoperative infection control was achieved with broad- spectrum antibiotics and wound care. The patient recovered without neurological deficits. Prompt recognition and surgical intervention can be lifesaving in infected carotid pseudoaneurysm rupture.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cvja.co.za\/journal\/cvja-2025-062\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiovascular Journal of Africa\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-17T13:34:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-05T12:37:49+00:00\" \/>\n<meta name=\"author\" content=\"Jaco Moolman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jaco Moolman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-062\/\",\"url\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-062\/\",\"name\":\"Cutaneous rupture of infected carotid artery pseudoaneurysm following neck dissection and radiotherapy for thyroid cancer - Cardiovascular Journal of Africa\",\"isPartOf\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#website\"},\"datePublished\":\"2025-10-17T13:34:17+00:00\",\"dateModified\":\"2026-05-05T12:37:49+00:00\",\"author\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920\"},\"description\":\"We report a case of a 72-year-old man with advanced thyroid cancer who presented with massive neck bleeding from a ruptured infected pseudoaneurysm of the left common carotid artery, following radical neck dissection and radiotherapy. Due to active haemorrhage, tissue infection, and haemodynamic instability, endovascular treatment was contraindicated. Emergency surgical ligation of the left common and internal carotid arteries was performed. Postoperative infection control was achieved with broad- spectrum antibiotics and wound care. The patient recovered without neurological deficits. 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