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A case of pseudoaneurysm of the left common carotid artery which might be caused by chronic contacts with calcified ulcer lesion is reported. An 86-year-old woman was referred to the hospital for a skin ulcer with calcification in the left side of the neck which was accompanied by repetitive arterial hemorrhage. There was a previous history of undergoing a left lobectomy of the thyroid grand with lymph node dissection and postoperative irradiation for a thyroid cancer 24 years before admission. CT and arteriography demonstrated a pseudoaneurysm of the left common carotid artery. After completion of permanent bypass using a saphenous vein graft between the left axillary artery and external carotid artery, an aneurysmectomy of the pseudoaneurysm was performed. Photomicrography showed no recurrent evidence of thyroid cancer in the resected material, and she had an uneventful postoperative course.

PSEUDOANEURYSM OF THE LEFT COMMON CAROTID ARTERY AFTER SURGERY AND RADIATION THERAPY FOR THYROID CANCER -A CASE REPORT-