
A 64 year old man underwent carotid paraganglioma resection and neck dissection under general anaesthesia. Owing to tumour encasement, internal carotid artery resection with a temporary Burbank shunt (Bard Peripheral Vascular, Tempe, AZ, USA) was performed. When the tourniquet was loosened for shunt removal, the shunt migrated proximally (arrow) leading to urgent cardiac surgery for shunt removal. This unusual migration was probably enhanced by the lack of shunt clamping, but flow effects cannot be ruled out. The carotid artery was successfully reconstructed. Endovascular extraction was not attempted owing to the risk of further vascular trauma. Shunts should be clamped before removal to avoid this complication.
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Publication history
Published online: May 23, 2020
Accepted:
April 23,
2020
Received:
February 10,
2020
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© 2020 European Society for Vascular Surgery. Published by Elsevier B.V.
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