Ann Cardiol Cardiovasc Med | Volume 3, Issue 2 | Case Report | Open Access

Traumatic Common Carotid - Internal Jugular Arteriovenous Fistula Presenting as Life-threatening Epistaxis: Clinical Features Surgical Treatment

Vijoy Kumar Sinha1, Amitabh Yaduvanshi2, Vikas Kataria2 and Mohan Nair2*

1Department of Cardiothoracic and Vascular Surgery, Holy Family Hospital, India 2Department of Cardiology, Holy Family Hospital, India

*Correspondance to: Mohan Nair 

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Abstract

The development of post traumatic common carotid - internal jugular vein fistula is an extremely rare (4% to 7%) occurrence that may remain undetected during the acute phase of injury. Its clinical 4 manifestation varies depending on its size, duration, and proximity to the heart. We report here 5 the case study of one such patient who remained undiagnosed for 20 years and was recently 6 treated by trans-sternal ligation of left common carotid artery with an uneventful postoperative 7 follow-up. This case report illustrates the importance of timely diagnosis by having a high index 8 of suspicion so as to prevent complications. The operative strategy should be safe and decided on 9 a case-by-case basis.

Keywords:

Common carotid artery; Internal jugular vein; Carotid jugular fistula

Citation:

Sinha VK, Yaduvanshi A, Kataria V, Nair M. Traumatic Common Carotid - Internal Jugular Arteriovenous Fistula Presenting as Life-threatening Epistaxis: Clinical Features Surgical Treatment. Ann Cardiol Cardiovasc Med. 2019; 3(2): 1026..

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