Operative management of symptomatic, metachronous carotid body tumors involving the skull base and its neurological sequelae

A 44-year-old morbidly obese woman with a history of right carotid body tumor (CBT) resection presented with a symptomatic, nonfunctional, left Shamblin-III CBT. Abutment of the skull base precluded distal internal carotid artery control for arterial reconstruction, favoring parent vessel sacrifice...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2021-09, Vol.7 (3), p.378-381
Main Authors: Aru, Roberto G., Aouad, Rony K., Fraser, Justin F., Romesberg, Amanda M., Hatton, Kevin W., Tyagi, Sam C.
Format: Article
Language:English
Subjects:
Baroreceptor failure syndrome
Carotid body tumor
Case report
Cranial nerves deficit
Metachronous carotid body tumor
Multidisciplinary care
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Summary:A 44-year-old morbidly obese woman with a history of right carotid body tumor (CBT) resection presented with a symptomatic, nonfunctional, left Shamblin-III CBT. Abutment of the skull base precluded distal internal carotid artery control for arterial reconstruction, favoring parent vessel sacrifice after an asymptomatic provocative test. She underwent CBT resection with anticipated sacrifice of cranial nerves X and XII and the common carotid artery and its branches, developing baroreceptor failure syndrome and sequelae of cranial nerve sacrifice. When facing a symptomatic, metachronous CBT abutting the skull base, upfront operative intervention with adjuvant radiation for residual tumor optimizes curative resection.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2021.04.018