Bonnard Damien, de Monès Erwan, Sagardoy Thomas, Franco-Vidal Valérie, Darrouzet Vincent, Fierens Sylvestre
Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Bordeaux, Bordeaux F-33000, France.
Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Bordeaux, Bordeaux F-33000, France.
Am J Otolaryngol. 2017 Nov-Dec;38(6):713-717. doi: 10.1016/j.amjoto.2017.08.003. Epub 2017 Aug 24.
We report the first case of a transtympanic iatrogenic internal carotid artery (ICA) pseudoaneurysm diagnosed in a 4-year-old child following a myringotomy. An endovascular treatment with a covered-stent was decided; spontaneous thrombosis was found during the therapeutic arteriography, and the procedure was aborted. Otoscopy and computed tomography (CT) scan monitoring showed a prolonged thrombosis and the disappearance of the pseudoaneurysm 18months after the diagnostic arteriography. Based on literature review, endovascular techniques seem to be preferred to the surgical approach for treatment of intrapetrous ICA pseudoaneurysm, however clinical and CT scan monitoring may also be a valid option.
