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Internal mammary artery pseudoaneurysms complicating chest wall infection in children: diagnosis and endovascular

H Deshmukh1, S R Prasad, T Patankar

  • 1Department of Radiology, King Edward Memorial Hospital, Bombay, India.

Clinical Imaging
|December 6, 2001
PubMed

Insights

Mycotic internal mammary artery pseudoaneurysms are rare, often linked to chest wall abscesses in children. Endovascular treatment offers a successful, non-surgical option for these cases.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Infectious Diseases
  • Diagnostic Imaging

Background:

  • Mycotic internal mammary artery (IMA) pseudoaneurysms are infrequently documented in medical literature.
  • IMA pseudoaneurysms can arise as a complication of deep-seated infections, particularly in the chest wall.

Observation:

  • This report details two pediatric cases of internal mammary artery pseudoaneurysms.
  • The pseudoaneurysms were secondary to chest wall abscesses caused by Staphylococcus and tuberculosis.

Findings:

  • Imaging revealed IMA pseudoaneurysms in both children.
  • Both patients underwent successful endovascular treatment for their pseudoaneurysms.

Implications:

  • Endovascular intervention provides a viable and effective alternative to surgical management for mycotic IMA pseudoaneurysms in children.
  • These findings highlight the importance of considering endovascular options in managing complex vascular complications of pediatric infections.

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