[Congenital carotid to jugular aneurysm]

Area of Science:

• Cardiology
• Pediatric Surgery
• Vascular Surgery

Background:

• Congenital vascular anomalies can present with severe hemodynamic compromise in neonates.
• Carotid-jugular aneurysms are rare but potentially life-threatening conditions in infants.
• Early diagnosis and surgical management are crucial for favorable outcomes.

Observation:

• A two-day-old infant presented with severe heart failure.
• The underlying cause was identified as a congenital carotid-jugular aneurysm.
• Classic signs of arteriovenous fistula, such as murmur and thrill, were initially absent due to the patient's critical state.

Findings:

• The infant's severe cardiac failure masked typical arteriovenous fistula indicators.
• Surgical correction of the congenital carotid-jugular aneurysm was successfully performed.
• Post-operative recovery was achieved, indicating the efficacy of surgical intervention.

Implications:

• This case underscores the need for a high index of suspicion for vascular anomalies in neonates with heart failure.
• Diagnostic evaluation should include reassessment for arteriovenous fistula signs once hemodynamic stability is achieved.
• Prompt surgical management of congenital carotid-jugular aneurysms can prevent mortality and morbidity in infants.