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Direct surgical repair of carotid pseudoaneurysm in an infant
Mandy J Binning1, Ramin Eskandari, William T Couldwell
1Department of Neurosurgery, University of Utah, 175 N. Medical Drive East, Salt Lake, UT 84132, USA.
Insights
Direct surgical repair of a traumatic internal carotid artery aneurysm in an infant proved successful. This neurosurgical intervention avoided risks associated with endovascular treatments in pediatric patients.
Area of Science:
- Neurosurgery
- Pediatric neurosurgery
- Vascular neurosurgery
Background:
- Direct intracranial carotid artery repair in infants is a rare procedure.
- Traumatic aneurysms in pediatric patients present unique challenges.
Observation:
- An 11-week-old infant sustained a traumatic aneurysm of the distal internal carotid artery after a motor vehicle collision.
- The aneurysm was associated with a nondisplaced parietal fracture.
Findings:
- Successful direct operative repair of the intracranial carotid artery aneurysm was achieved.
- This surgical approach was favored over endovascular treatment due to risks to the anterior choroidal artery.
Implications:
- Direct surgical repair is a viable and safe alternative for managing traumatic intracranial carotid artery aneurysms in infants.
- This case highlights the importance of considering open surgical techniques in pediatric neurovascular emergencies.
Introduction:
The authors present their case of direct intracranial carotid artery repair in an infant.
Case Report:
An 11-week-old infant with a nondisplaced left-sided parietal fracture sustained in a motor vehicle collision was found to have a traumatic aneurysm of the distal right internal carotid artery.
Conclusion:
This was successfully treated with operative direct repair as a favorable alternative to attempted endovascular treatment, which carried the risk of interruption of the anterior choroidal artery.
