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Airway management in a case of expanding neck hematoma after carotid endarterectomy

Masih Ebrahimy Dehkordy, Faranak - Behnaz, Shayesteh Khorasanizadeh, Homeyra kouzekanani, Naeimeh Gholizadeh




Background: Respiratory obstruction is a fatal complication following carotid endarterectomy, which caused direct compression of trachea secondary to venous and lymphatic congestion.

Cases Report: In this study, we report a complicated case of carotid endarterectomy   that required emergency intubation in difficult circumstance due to progressing hematoma and soft tissue edema.

Conclusion: we report a case of hematoma and edema causing compromised airway following carotid endarterectomy (CEA), in which quick action to decompress the hematoma and prepare a secure airway lead to successful outcome.


Difficult airway, Neck hematoma, Difficult intubation


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DOI: https://doi.org/10.22037/nbm.v6i4.22224