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Giant cervical internal carotid artery pseudoaneurysm in a child: endovascular treatment
1Hacettepe University, Department of Radiology, 06100 Ankara, Turkey. mertkoroglu2000@yahoo.com
Insights
A child with a giant internal carotid artery pseudoaneurysm experienced severe symptoms and a rupture during treatment. Prompt endovascular intervention led to a positive outcome for this rare condition.
Area of Science:
- Vascular Surgery
- Pediatric Neurology
- Interventional Radiology
Background:
- Giant internal carotid artery pseudoaneurysms are rare, particularly in children.
- These aneurysms can present with life-threatening symptoms due to mass effect and risk of rupture.
Observation:
- A pediatric case presented with dysphagia, respiratory distress, and sentinel epistaxis, followed by massive epistaxis.
- The pseudoaneurysm ruptured during the initial treatment attempt.
Findings:
- Endovascular treatment was successfully employed following the rupture.
- The prompt intervention resulted in a favorable outcome for the child.
Implications:
- This case highlights the critical need for timely diagnosis and management of pediatric internal carotid artery pseudoaneurysms.
- Endovascular techniques offer a viable treatment option, even in complex cases with intraoperative rupture.
- Further research into the optimal management strategies for these rare pediatric vascular lesions is warranted.
Abstract:
We report a child with a giant upper cervical internal carotid artery pseudoaneurysm presenting with dysphagia, respiratory distress and a sentinel mild epistaxis, then massive epistaxis. Rupture of the pseudoaneurysm during treatment occurred, as in one reported case. Prompt endovascular treatment yielded a good outcome.
