Carotid Artery Dissection Following Neck Cannulation for Extracorporeal Life Support

A term neonate was cannulated for venoarterial extracorporeal life support (ECLS) via the right neck for non-postoperative junctional ectopic tachycardia. Initial echocardiogram demonstrated an echogenic strand in the transverse arch. Computed tomography angiogram confirmed arterial dissection of th...

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Bibliographic Details
Published in:World journal for pediatric & congenital heart surgery 2017-05, Vol.8 (3), p.414-416
Main Authors: Ryerson, Lindsay M., Sanchez-Glanville, Carlos, Huberdeau, Christa, Aklabi, Mohammed Al
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - etiology
Carotid Artery, Common
Catheterization, Central Venous - adverse effects
Echocardiography
Extracorporeal Membrane Oxygenation - adverse effects
Female
Humans
Infant, Newborn
Tomography, X-Ray Computed
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Summary:A term neonate was cannulated for venoarterial extracorporeal life support (ECLS) via the right neck for non-postoperative junctional ectopic tachycardia. Initial echocardiogram demonstrated an echogenic strand in the transverse arch. Computed tomography angiogram confirmed arterial dissection of the right common carotid artery that extended into the proximal transverse arch. Dissection flap was repaired at the time of ECLS decannulation without cardiopulmonary bypass. Follow-up computed tomography angiogram revealed a segment of narrowing of approximately 50% of the right common carotid artery without false lumen or aneurysm.
ISSN:2150-1351
2150-136X
DOI:10.1177/2150135116639542