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Abstract
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.
Highlights
Mycotic extracranial carotid artery aneurysm (ECAA) in children is extremely rare but associated with a high potential for rupture and thromboembolic episodes.[1]
We present an 8-year-old boy with a case of mycotic ECAA who was operated on in our cardiovascular surgery department
It is the second report in the literature of a mycotic pseudoaneurysm located in the common carotid artery.[2,3]
Summary
1. Fabien Koskas, University Hospital La PitiéSalpêtrière, Paris, France Paris Sorbonne Université, Paris, France. 2. Maurizio Domanin , Istituto di Ricovero e Cura a Carattere Scientifico Ca Granda Ospedale Maggiore Policlinico, Milan, Italy Università degli Studi di Milano, Milan, Italy. Any reports and responses or comments on the article can be found at the end of the article
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