Life-threatening pseudoaneurysm of the facial artery after dental extraction: successful treatment with emergent endovascular embolization

Vascular complications after third molar extraction are very rare but may cause a life-threatening situation. The case presented is that of a 25-year-old male who appeared at our emergency department with severe dyspnea and increasing swelling of the left submandibular area 3 days after dental extra...

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Published in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2008-07, Vol.106 (1), p.129-132
Main Authors: Marco de Lucas, Enrique, MD, Gutiérrez, Agustín, PhD, Mandly, Andrés González, MD, García-Pire, Francisco, MD, Marco de Lucas, María Teresa, MD, Parra, José Antonio, PhD, Sáiz-Bustillo, Ramón, MD
Format: Article
Language:English
Subjects:
Adult
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - therapy
Angiography, Digital Subtraction
Arteries - injuries
Biological and medical sciences
Chemoembolization, Therapeutic
Dentistry
Enbucrilate - analogs & derivatives
Enbucrilate - therapeutic use
Face - blood supply
Humans
Male
Mandible
Medical sciences
Molar, Third - surgery
Otorhinolaryngology. Stomatology
Radiography, Interventional
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Surgery
Tissue Adhesives - therapeutic use
Tooth Extraction - adverse effects
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Summary:Vascular complications after third molar extraction are very rare but may cause a life-threatening situation. The case presented is that of a 25-year-old male who appeared at our emergency department with severe dyspnea and increasing swelling of the left submandibular area 3 days after dental extraction. CT angiography and digital subtraction angiography demonstrated a pseudoaneurysm of the facial artery. Subsequent emergent endovascular embolization with n-Butyl-2-Cyanoacrylate was performed and the patient had a rapid satisfactory resolution.
ISSN:1079-2104
1528-395X
DOI:10.1016/j.tripleo.2007.09.031