Case report

Carotid artery resection and reconstruction with superficial femoral artery transplantation: a case report

Yoann Pons¹ , Elsa Ukkola-Pons² , Philippe Clément¹ , Bernard Baranger³ and Claude Conessa¹

¹  Head and Neck Surgery Department, Hôpital du Val de Grâce. 74, Boulevard de Port Royal, 75230 Paris, France

²  Radiology Department, Hôpital du Val de Grâce. 74, Boulevard de Port Royal, 75230 Paris, France

³  Vascular Surgery Department, Hôpital du Val de Grâce. 74, Boulevard de Port Royal, 75230 Paris, France

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Head & Neck Oncology 2009, 1:19doi:10.1186/1758-3284-1-19

Published:	17 June 2009

Abstract

Introduction

Managing advanced head and neck cancer is often a difficult task, particularly when massive invasion of the carotid artery is present. However, en bloc resection can be a curative procedure, and reconstruction of the carotid artery limits the risk for stroke. The aim of this study was to describe the interest, indication, potential risks, and methods by which we carried out resections as well as reconstructions of the carotid artery using superficial femoral artery transplantation.

Subjects and Methods

We presented one case of en bloc resection of the carotid artery with reconstruction with superficial femoral artery transplantation.

Results

Postoperative care was uneventful. The patient did not suffer from neurological deficiency. After three years of follow-up, the patient survived without any cancer recurrence.

Conclusion

The occurrence of massive cancer invasion into the carotid artery should not be a contraindication for surgery. En bloc resection of the carotid artery with revascularization using the superficial femoral artery allows for appropriate control of the cancer, and carries an acceptable level of neurological risk.