Post-traumatic carotid-jugular arterio-venous fistula.

© A ig. 1. (A) The selective angiography indicates a huge communication etween a branch of left external carotid artery and the internal jugular ein (black arrow); (B) the angiographic and (C) magnetic-resonance mages show, at the level of the left neck, a tortuous and ectasic ommunication between the external carotid artery and the internal ugular vein. The major diameter is 4.3–4.5 cm; (D) intra-operative iew of the fistula (black arrow) and the ectasic vascular trees. Fig. 2. (A) The white arrow indicates the fistula between the left external carotid artery and the internal jugular vein. (B) Surgical specimen after resection of the fistula and the ectasic vascular mass.