Case Report: Therapy of an Enormous Extracranial Carotid Artery Aneurysm With a Covered Coronary Stent in an Infant and Review of Literature.
Theresa Baumeister, Anja Tengler, Guido Mandilaras et al.
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Case in brief
A 2-year-old boy presented with chronic cervical lymphadenopathy, during which a large pseudoaneurysm of the left internal carotid artery was discovered. Imaging revealed significant compression of the naso- and oropharynx. Due to the aneurysm's proximity to the skull base, surgical intervention was deemed too risky. Instead, a covered coronary stent was successfully implanted endovascularly, with follow-up showing good outcomes and mild residual Horner's syndrome.
Diagnostic / clinical pearl
Endovascular stenting with covered coronary stents can be a safe and effective treatment for extracranial carotid artery pseudoaneurysms in pediatric patients.
Why it matters
This case highlights the potential for endovascular techniques in managing complex vascular conditions in children, where traditional surgical options may pose significant risks.