title: Congenital carotid-jugular fistula in a child: a case report.
abstract: Congenital carotid-jugular (CJ) fistula of the neck is a very rare clinical entity that has various causes. The CJ fistulas are particularly prone to complications unlike other peripheral arteriovenous fistulas. The aim of this report is to present a case of a CJ fistula between the external carotid and the external jugular vein, which was successfully closed with detachable balloon by an endovascular approach. A 14-year-old child was admitted to our clinic with a pulsatile neck swelling. There was no previous history of trauma. A high-flow fistula between the external carotid and the external jugular vein was determined. The fistula was closed with detachable balloon by an endovascular approach. The postoperative angiogram demonstrated complete resolution of the fistula. Endovascular treatment of CJ fistulas with detachable balloons is a safe and less traumatic technique and may be an effective alternative to the open surgery in selected patients.
authors.affiliation: Department of Neurosurgery, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Erdi
authors.forename: Bülent
authors.initials: B
authors.lastname: Kaya
authors.forename: Fatih
authors.initials: F
authors.lastname: Keskin
authors.forename: Osman
authors.initials: O
authors.lastname: Koç
authors.forename: Yasar
authors.initials: Y
authors.lastname: Karatas
authors.forename: Erdal
authors.initials: E
authors.lastname: Kalkan
mesh_terms: D000293:Adolescent; D001159:Arterio-Arterial Fistula / Q000175:diagnosis* / Q000628:therapy; D021721:Balloon Occlusion; D002342:Carotid Artery, External / Q000002:abnormalities* / Q000000981:diagnostic imaging; D057510:Endovascular Procedures; D006801:Humans; D007601:Jugular Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D018810:Magnetic Resonance Angiography; D008297:Male; D011859:Radiography; D016896:Treatment Outcome
keywords: carotid; endovascular; fistula; jugular