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True aneurysm of extracranial internal carotid artery in a 10-year-old

B Cinar1, O Fazlioğullari, O Goksel

  • 1Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Cardiovascular Surgery, Istanbul, Turkey.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|April 4, 2006
PubMed

Insights

This report details a rare case of true internal carotid artery aneurysm in a child. Surgical resection and graft interposition successfully treated the pediatric aneurysm.

Area of Science:

  • Vascular Surgery
  • Pediatric Cardiology

Background:

  • True aneurysms of the internal carotid artery are exceptionally rare in pediatric patients.
  • This case highlights a unique presentation in a 10-year-old boy.

Observation:

  • A 10-year-old boy presented with a pulsatile neck mass.
  • Diagnostic imaging confirmed a 25 mm by 50 mm true aneurysm of the right internal carotid artery.

Findings:

  • The pediatric internal carotid artery aneurysm was successfully resected.
  • A 5-mm expanded polytetrafluoroethylene (ePTFE) graft was interposed.
  • The patient experienced an uncomplicated recovery and was discharged on day 3.

Implications:

  • Early and accurate diagnosis of this rare condition is critical for effective management.
  • Open surgical intervention provides a viable treatment option for pediatric internal carotid artery aneurysms.
  • This case underscores the importance of considering uncommon vascular pathologies in pediatric neck masses.
Abstract

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