Cardiology department, Hbib Thameur Hospital, Tunis, University Tunis El Manar, TUNIS, 1068, Tunisia.
Cardiovascular surgery department, Rabta Hospital, Tunis, University Tunis El Manar, TUNIS, 1068, Tunisia.
F1000Res. 2021 Jul 14;10:564. doi: 10.12688/f1000research.54206.1. eCollection 2021.
Extracranial carotid artery aneurysms in children are extremely rare, nevertheless associated with a great potential of thromboembolic episodes and rupture especially those with mycotic origin. The surgical treatment is very challenging, and there is still a controversy concerning revascularisation after the resection of the aneurysm. In this manuscript, we report the observation of an 8-year-old boy with the medical history of Leukemia who is admitted urgently for a mycotic right common carotid artery aneurysm, occurring after a chemoport infection who was operated on in our cardiovascular surgery department with surgical resection and ligation. It is the second report in the pediatric literature of a mycotic pseudoaneurysm situated in the common carotid artery, but the first documented by medical imagery. Through this case, we highlight that ligation of the infected carotid artery can be a safe and efficient alternative especially in Children.
儿童颅外颈动脉动脉瘤极为罕见，但存在很大的血栓栓塞和破裂风险，尤其是感染性来源的动脉瘤。手术治疗极具挑战性，对于动脉瘤切除后的血运重建仍然存在争议。本文报告了一例 8 岁男孩的病例，该男孩患有白血病，因化疗港感染后出现右颈总动脉感染性假性动脉瘤而紧急入院，在我院心血管外科行手术切除和结扎。这是小儿文献中第二次报道位于颈总动脉的感染性假性动脉瘤，但首次通过医学影像记录。通过这个病例，我们强调感染颈动脉结扎术可以是一种安全有效的选择，尤其是在儿童中。
