# Carotid body tumor associated with complete heart block: A rare case report with long-term follow-up

## TL;DR

A rare case of carotid body tumor combined with complete heart block is reported, showing successful surgical treatment with multidisciplinary care.

## Contribution

This case highlights the rare coexistence of carotid body tumor and congenital complete heart block, emphasizing collaborative surgical management.

## Key findings

- A 47-year-old female had a carotid body tumor confirmed by CT angiography.
- Complete tumor resection was achieved with temporary pacemaker support and close monitoring.
- Multidisciplinary collaboration improved surgical outcomes in this complex case.

## Abstract

Carotid body tumor (CBT) is one of the most common paragangliomas in the head and neck region, accounting for only 0.6 % of tumors in this area. Here, we present a rare case of CBT associated with congenital complete heart block (CHB).

We report the case of a 47-year-old female with a history of left neck and ear pain, accompanied by a gradually enlarging neck mass over 2.5 years. Following initial evaluations and multiple differential diagnoses, CT angiography revealed an oval-shaped mass measuring 30 × 50 mm at the left carotid bifurcation, confirming a Shamblin type II CBT. Preoperative assessments demonstrated congenital CHB on electrocardiogram and echocardiography. The patient underwent complete tumor resection with all necessary precautions, including temporary pacemaker placement and careful monitoring.

CBTs are considered rare neoplasms, comprising only 0.6 % of head and neck tumors and approximately 0.03 % of all neoplasms. The surgical outcomes demonstrated that despite the coexistence of a CBT with CHB, safe and successful surgery is possible with careful planning and comprehensive management.

This case highlights the importance of precise diagnosis and management in rare combination cases and emphasizes the crucial role of collaboration between vascular surgery and anesthesiology specialists in minimizing surgical risks and improving patient quality of life.

•Carotid body tumor is one of the most common paragangliomas in the head and neck region.•We present a rare case of carotid body tumor associated with congenital complete heart block in a 47-year-old female.•CT angiography revealed an oval-shaped mass measuring 30×50 mm at the left carotid bifurcation.•The crucial role of collaboration between vascular surgery and anesthesiology specialists was presented in this case.

Carotid body tumor is one of the most common paragangliomas in the head and neck region.

We present a rare case of carotid body tumor associated with congenital complete heart block in a 47-year-old female.

CT angiography revealed an oval-shaped mass measuring 30×50 mm at the left carotid bifurcation.

The crucial role of collaboration between vascular surgery and anesthesiology specialists was presented in this case.