Transtympanic pseudoaneurysm of the internal carotid artery complicating a myringotomy in a four-year old child: Case report and literature review

We report the first case of a transtympanic iatrogenic internal carotid artery (ICA) pseudoaneurysm diagnosed in a 4-year-old child following a myringotomy. An endovascular treatment with a covered-stent was decided; spontaneous thrombosis was found during the therapeutic arteriography, and the proc...

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Bibliographic Details
Published in:American journal of otolaryngology 2017-11, Vol.38 (6), p.713-717
Main Authors: Bonnard, Damien, de Monès, Erwan, Sagardoy, Thomas, Franco-Vidal, Valérie, Darrouzet, Vincent, Fierens, Sylvestre
Format: Article
Language:English
Subjects:
Aneurysm
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - surgery
Aneurysms
Arteriography
Bones
Cardiovascular abnormalities
Cardiovascular system
Carotid arteries
Carotid artery
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - etiology
Carotid Artery Diseases - surgery
Carotid artery injuries
Carotid Artery, Internal
Case reports
Child, Preschool
Children & youth
Computed tomography
Diagnostic systems
Ears & hearing
Endovascular procedures
Hearing loss
Hearing Loss, Conductive - diagnostic imaging
Hearing Loss, Conductive - etiology
Hearing Loss, Conductive - surgery
Humans
Implants
Literature reviews
Male
Medical imaging
Middle ear
Middle Ear Ventilation - adverse effects
Monitoring
Otitis Media - complications
Otitis Media - diagnostic imaging
Otitis Media - surgery
Pseudoaneurysm
Surgery
Surgical implants
Thromboembolism
Thrombosis
Veins & arteries
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Description
Summary:We report the first case of a transtympanic iatrogenic internal carotid artery (ICA) pseudoaneurysm diagnosed in a 4-year-old child following a myringotomy. An endovascular treatment with a covered-stent was decided; spontaneous thrombosis was found during the therapeutic arteriography, and the procedure was aborted. Otoscopy and computed tomography (CT) scan monitoring showed a prolonged thrombosis and the disappearance of the pseudoaneurysm 18months after the diagnostic arteriography. Based on literature review, endovascular techniques seem to be preferred to the surgical approach for treatment of intrapetrous ICA pseudoaneurysm, however clinical and CT scan monitoring may also be a valid option.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2017.08.003