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True extracranial carotid artery aneurysm in a child

Jeffrey Edwards1, Megan Carroll2, Mathew Wooster2

  • 1Department of Surgery, Division of Vascular Surgery, Emory University School of Medicine, Atlanta, Ga.

Journal of Vascular Surgery Cases
|November 15, 2019
PubMed

Insights

Pediatric true aneurysms of the extracranial carotid artery are rare. Unlike adults, these aneurysms in children often stem from congenital issues or inflammatory conditions, not atherosclerosis.

Area of Science:

  • Vascular Surgery
  • Pediatric Cardiology
  • Neurology

Background:

  • True aneurysms of the extracranial carotid artery are uncommon in children.
  • Pediatric carotid aneurysms differ etiologically from adult counterparts, often linked to congenital factors rather than atherosclerosis.

Purpose of the Study:

  • To report a case of isolated internal carotid artery aneurysm in a pediatric patient.
  • To review the existing literature on pediatric extracranial carotid artery aneurysms.

Main Methods:

  • Case presentation of a 10-year-old boy with an internal carotid artery aneurysm.
  • Literature review of pediatric extracranial carotid artery aneurysms.

Main Results:

  • The patient was a 10-year-old male with an isolated true aneurysm of the internal carotid artery.
  • Nine cases of isolated true extracranial carotid artery aneurysms in pediatric patients have been previously reported.

Conclusions:

  • Pediatric carotid aneurysms are rare and associated with congenital malformations, connective tissue diseases, or systemic inflammatory conditions.
  • Atherosclerosis is a less common cause in the pediatric population compared to adults.

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