An unusual cause of dyspnea in a 35-year old woman: Massive primary vascular tumor of the carotid artery

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Canbay Sarılar Ç., Akdoğan B., Şahin M. E., Bulut S., Göksel O. S.

22st National Vascular and Endovascular Surgery Congress and the 13th National Phlebology Congress, Antalya, Türkiye, 6 - 09 Kasım 2025, ss.283, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.283
  • İstanbul Üniversitesi Adresli: Evet

Özet

Abstract

Aim: Vascular lesions of the head and neck region are complex and diverse.

Material and Methods: We present a young female patient presenting with a mass originating from the ostium of the left common

carotid artery extending cranially to the level of carotid bifurcation.A 35-year-old female patient was referred to our clinic with a

history of occasional dyspnea and dysphagia and left-sided neck mass after a similar presentation to our clinic 8 years ago.

Results: Radiologically, the tumor originated at the level of the LCCA ostium and extended cranially as high as the bifurcation and

encircled it around 360°. Lower-most border of the tumor near the origin of the LCCA was reached by dissecting the omohyoid and

sternohyoid muscles partially alleviating the need for a sternotomy allowing en bloc excision. However, at the most caudal border of

the tumor, it was not possible to excise it off the carotid wall without rupturing and we had to interpose a 8- mm ringed PTFE graft

at this level.

Conclusion: This is an unprecedented presentation of a tumor originating from the carotid artery itself. Final diagnosis is possible

following surgical excision and the experienced surgeon should consider the possibility of all the neurovascular complications.

Keywords: Dsypnea, vascular tumor, carotid artery