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

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7 Scopus citations

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.

Original languageEnglish (US)
JournalJournal of Pediatric Surgery
Volume44
Issue number3
DOIs
StatePublished - Mar 2009

Keywords

  • Carotid
  • Penetrating
  • Trauma
  • Vascular pseudoaneurysm

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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