External-internal carotid artery transposition for repair of multiple pseudoaneurysms from penetrating injury in a pediatric patient.
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.
Galante
Joseph M
JM
Department of Surgery, University of California Davis Medical Center, Sacramento, CA 95817, USA.
London
Jason A
JA
Pevec
William C
WC
D000293:Adolescent; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D002342:Carotid Artery, External / Q000637:transplantation*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D014656:Vascular Surgical Procedures / Q000379:methods; D014948:Wounds, Gunshot / Q000150:complications*