Delayed presentation of traumatic infrapopliteal arteriovenous fistula and pseudoaneursym in a 10-year-old boy managed by coil embolization

Abstract Blunt traumatic arteriovenous fistulae of the extremities are rare in children. We report the case of a 10-year-old boy with a traumatic infrapopliteal arteriovenous fistula and concomitant pseudoaneurysm diagnosed 2 months after he was struck by a car. It was definitively managed with coil...

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Bibliographic Details
Published in:Journal of pediatric surgery 2012-02, Vol.47 (2), p.e7-e10
Main Authors: Yu, Peter T, Rice-Townsend, Samuel, Naheedy, John, Almodavar, Heidi, Mooney, David P
Format: Article
Language:English
Subjects:
Accidents, Traffic
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - therapy
Arteriovenous fistula
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - etiology
Arteriovenous Fistula - therapy
Bicycling - injuries
Brain Injuries - etiology
Child
Edema - etiology
Embolization, Therapeutic - instrumentation
Endovascular
Fibula - injuries
Fractures, Closed - etiology
Humans
Male
Multiple Trauma
Pediatrics
Popliteal Vein - diagnostic imaging
Popliteal Vein - injuries
Popliteal Vein - pathology
Pseudoaneurysm
Radiography, Interventional
Surgery
Tibial Arteries - diagnostic imaging
Tibial Arteries - injuries
Tibial Arteries - pathology
Tibial Fractures - etiology
Time Factors
Trauma
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Summary:Abstract Blunt traumatic arteriovenous fistulae of the extremities are rare in children. We report the case of a 10-year-old boy with a traumatic infrapopliteal arteriovenous fistula and concomitant pseudoaneurysm diagnosed 2 months after he was struck by a car. It was definitively managed with coil embolization. Postprocedure, the vascular anatomy of the patient's right calf was well preserved. He had complete resolution of his symptoms immediately after the intervention and continues to do well 6 months later.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2011.10.069