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2019, Number 2

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Revista Cubana de Angiología y Cirugía Vascular 2019; 20 (2)

Post-traumatic pseudoaneurysm of the femoral artery in a twoyears- old girl

García PS, Sariol E, Collazo SE

Language: Spanish
References: 21
Page:
PDF size: 112.47 Kb.


ABSTRACT

Introduction: Arterial aneurysms are rare in the pediatric ages. However, it is observed an increasement of the incidence of pseudoaneurysms caused by vascular traumas, mainly due to the use of invasive procedures. It is also present in infectious and tumour processes that end up injuring the arterial wall. Most of them are asymptomatic or are presented as a pulsatile mass that sets up over the affected artery’s zone.
Objective: To show the importance of early diagnosis of pseudo-aneurysms.
Case presentation: It is presented the case of a two years old patient with a iatrogenic vascular trauma in the right lower limb that manifested in the way of a pulsatile tumor. Through an eco-Doppler and an angiography, an aneurysm of the right femoral artery was diagnosed, which led to an excision and a vascular reconstruction with good evolution.
Conclusions: Early diagnosis of these vascular entities allows its timely surgical treatment, avoids the appearance of further complications and assures a prompt and satisfactorily evolution of the patients.


REFERENCES

  1. Rodríguez Montalbán A, Lobato Andrés M, Acosta Espeleta E, Gesto Castromil R. Traumatismos vasculares en edad pediátrica. Características singulares y evolución a largo plazo. J Ang. 2007;59(2):65-76. [ Links ]

  2. Votapka T, Backer CL, Mauroudis C. Giant popliteal false aneurysm in an 8-year-old child. J PediatrSurg.1993;12:1594-6. [ Links ]

  3. Olguín R, Marín J, Seymour C, Werner K, Covarrubias G, Villablanca M, et al. Aneurisma poplíteo en niño. Rev Chil Cir. 2016;68(2):170-2. doi.org/10.4067/S0718- 40262016000200010. Acceso: 20/10/2018. Disponible en: http://scihub. tw/https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0718- 40262016000200010&lng=en&nrm=iso&tlng=en [ Links ]

  4. Sarkar R, Arnold G, Coran AG, Robert E, Cilley RE, Lindenauer SM, et al. Arterial aneurysms in children: clinic pathologic classification. J Vasc Surg. 1991;13:47-57. [ Links ]

  5. Shaker J, White JJ, Signer RD, Golladay ES, Haller A. Special problems of vascular injuries in children. J Trauma. 1976;16:863-7. [ Links ]

  6. Funda Aköz S, Karaca B, Özgür P, Asuman Ö. Post-traumatic pseudoaneurysm of the upper extremityin two pediatric patients. El ve Mikrocerrahi. 2013;2(1):35-8. doi:10.2399/emd.13.03511. [ Links ]

  7. Whitehouse WM, Cora NAG, Stanley JC, Kuhns LR, Weintraub WH. Pediatric vascular trauma. Manifestations, management, and sequelae of extremity arterial injury in patients undergoing surgical treatment. Arch Surg. 1976;111:1269-75. [ Links ]

  8. Smith C, Green RM. Pediatric vascular injuries. Surgery. 1981;90:20-31. [ Links ]

  9. Lazarides MK, Georgiadis GS, Papas T, Gardikis S, Maltezos C. Operative and nonoperative management of children aged 13 years or younger with arterial trauma of the extremities. J Vasc Surg. 2006;43:72-6. [ Links ]

  10. Stone PA, Campbell JE, AbuRahma AF. Pseudoaneurismas femorales después de acceso percutáneo. J Vasc Surg. 2014;60(5):1359-66. [ Links ]

  11. Mikulin T, Walker EW. False aneurysm following blunt trauma. Injury.1984;15:309- 10. [ Links ]

  12. Ammar Ahmed AR. Peripheral arterial injuries in pediatric age group. J Korean Soc Traumatol. 2016;29(2):37-42. [ Links ]

  13. Ghazanfar A, Asghar A, Ullah Khan N, Abdullah S. True brachial artery aneurysm in a child aged 2 years. Case Reports 2016. 2016:bcr2016216429. doi:10.1136/bcr- 2016-216429. Access: 2018/10/20. Available at: http://casereports.bmj.com/content/2016/bcr-2016-216429.full.pdf 14 Inoue Y, Iwamoto T, Kitoh M, Yoshimura K, Ono T. Traumatic aneurysm of the temporal artery: a report of five cases. J Dermatol. 1997;24:246-8. [ Links ]

  14. Halpern V, Oconnor J, Murello M, Siegel D, Cohen JR. Multiple idiopathic arteria aneurysms in children: a case report and review of the literature. J Vasc Surg.1997;25:949-56. [ Links ]

  15. Ho PK, Wiland AJ, McClinton MA, Wilgis EF. Aneurysms of the upper extremity. J Hand Surg(Am).1987;12:39-46. [ Links ]

  16. Mahmoud M, Al-Saadi M, Abuderman A, Alzimami K, Alkhorayef M, Almagli B, et al. waveform in the diagnosis of arterial pseudoaneurysms. World J Radiol. 2015;7(5):89-99. doi:10.4329/wjr.v7.i5.89 [ Links ]

  17. Möller Alcaíno G, Pérez-Luco Alarcón T, Casals Aguirre R. Pseudoaneurisma traumático de la arteria temporal superficial. Reporte de un caso. Rev Ped Elec. 2017;15(1). [ Links ]

  18. Stapleton CJ, Fusco MR, Thomas AJ. Traumatic pseudoaneurysms of the superficial temporal artery: case series, anatomy, and multidisciplinary treatment considerations. J Clinl Neuroscience. 2014;21(9):1529-32. [ Links ]

  19. Wang Z, Yu J, Wang X. Management of subclavian artery aneurysm. Chung Hua WaiKo TsaChih. 1996;34:359-60. [ Links ]

  20. Losev RZ, BurovIu A, Alimov VK, Lvovich VL, Makarova LN. The treatment of posttraumatic and true arterial aneurysms of the extremities. Vestn Khir Im IGrek. 1994;153:7-12,43-7. [ Links ]

  21. Gangopadhyay N, Chong T, Chhabra A, Sammer DM. Brachial artery aneurysm in 7 month old infant: Case report and literature review. Plast Reconstr Surg Glob Open. 2016;4(2):e625. doi: 10.1097/GOX.0000000000000609. Access: 2018/10/20. Available at: http://sci-hub.tw/10.1097/GOX.0000000000000609 [ Links ]




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