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Management of Pediatric Aortic Pseudoaneurysm Due to Penetrating Trauma

Steven C Mehl1,2, Anoosha Moturu1, Jorge Miranda1,3

  • 1Department of Surgery, Baylor College of Medicine, Houston, TX, USA.

The American Surgeon
|July 27, 2023
PubMed

Insights

Pediatric surgeons can manage traumatic aortic pseudoaneurysms using endovascular techniques. This case highlights successful management with a covered stent and multidisciplinary care for penetrating chest trauma in a child.

Area of Science:

  • Pediatric Surgery
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Penetrating chest trauma in children is increasing.
  • Traumatic aortic pseudoaneurysms pose significant risks.
  • Prompt and effective management is crucial for pediatric patients.

Purpose of the Study:

  • To describe the endovascular management of a traumatic aortic pseudoaneurysm in a child.
  • To detail the subsequent bullet retrieval after penetrating chest trauma.
  • To emphasize the role of multidisciplinary decision-making and novel stent use.

Main Methods:

  • Endovascular repair of a traumatic aortic pseudoaneurysm.
  • Use of an expandable covered stent typically for aortic coarctation.
  • Surgical bullet retrieval.
  • Multidisciplinary team approach involving pediatric surgeons and interventionalists.

Main Results:

  • Successful endovascular management of the aortic pseudoaneurysm.
  • Complete retrieval of the projectile.
  • No major complications reported during or after the procedure.
  • Good short-term outcome for the patient.

Conclusions:

  • Endovascular techniques, including the use of covered stents, are viable options for managing pediatric traumatic aortic pseudoaneurysms.
  • Multidisciplinary collaboration is essential for optimal outcomes in complex pediatric trauma cases.
  • This approach offers a less invasive alternative for specific pediatric penetrating chest injuries.

Keywords:
pediatric surgerytraumavascular surgery

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