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External-internal carotid artery transposition for repair of multiple pseudoaneurysms from penetrating injury in a pediatric patient

Authors
Journal
Journal of Pediatric Surgery
0022-3468
Publisher
Elsevier
Publication Date
Volume
44
Issue
3
Identifiers
DOI: 10.1016/j.jpedsurg.2008.11.059
Keywords
  • Trauma
  • Penetrating
  • Carotid
  • Vascular Pseudoaneurysm
Disciplines
  • Medicine

Abstract

Abstract A 13-year-old boy was transferred to our trauma center after sustaining a shotgun wound to his neck and head. Workup revealed an injury to his tonsillar fossa, a pseudoaneurysm less than 4 mm in his internal carotid artery, and diffuse cerebral edema. After management of his intracranial hypertension, follow-up angiogram revealed 4 pseudoaneurysms in his internal carotid artery. In the operating room, the affected segment was resected, and a transposition of the external carotid artery to the internal carotid artery was performed. Workup of penetrating neck trauma and management options for internal carotid artery pseudoaneurysms in a pediatric patient are discussed.

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