Successful conservative management of a superficial pediatric pseudoaneurysm

Barkho, Jouseph; Chan, Anthony; Choi, Matthew

doi:10.1016/j.epsc.2018.01.009

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…It was previously concluded that endovascular coiling is preferred treatment of pseudoaneurysm arising from small branches artery and open surgical repair is a standard if the pseudoaneurysm arising from critical axial vessels (Raherinantenaina et al 2016). Apart from surgical intervention, one case of posterior tibial artery pseudoaneurysm which recovered spontaneously while another case of successful conservative management in asymptomatic paediatric pseudoaneurysm, even in patients with coagulopathies were reported (Dhal et al 2001;Barkho et al 2018). He also reviewed nine other studies where conservative management with regular follow-up and observation was an option of successful treatment.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of Dorsalis Pedis Artery Following Lisfranc Surgery: A Rare Complication

Munira

Faa’iza

Yazid

et al. 2019

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Aneurisma dan pseudoaneurisma pada dorsalis pedis arteri dikenali sebagai satu entiti vaskular yang jarang berlaku di mana insiden ini dilaporkan hanya sebanyak 0.5% daripada aneurisma arteri periferi dan hanya beberapa kes yang telah dilaporkan. Pembentukan pseudoaneurisma biasanya dikaitkan dengan kes patah tulang, luka atau kecederaan arteri iatrogenik. Kecederaan arteri yang bertepatan dengan pseudoaneurisma selalunya terlepas pandang kerana kekurangan penemuan klinikal. Penemuan klinikal yang cepat adalah penting untuk mengurangkan peratusan morbiditi serta kematian. Di sini, kami ingin membentangkan satu kes komplikasi yang jarang berlaku dalam satu prosedur ortopedik yang dilakukan pada seorang pesakit lelaki muda yang datang dengan keadaan bengkak yang menyakitkan di atas kaki kiri selepas terlibat dalam kecederaan industri. Pesakit tersebut telah menjalani pembedahan akibat kecederaan sendi Lisfranc dan telah pulih sepenuhnya. Selepas 2 bulan menjalani pembedahan tersebut, beliau kembali dengan bengkak yang mempunyai denyutan nadi di kaki kirinya. Beliau dirawat secara konservatif dengan menggunakan pembalut mampatan dan dapat menjalankan aktiviti seperti biasa selepas rawatan dijalankan.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of Dorsalis Pedis Artery Following Lisfranc Surgery: A Rare Complication

Munira

Faa’iza

Yazid

et al. 2019

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Iatrogenic vascular trauma and complications of vascular access in children

Georgeades

Rothstein

Plunk

et al. 2021

Seminars in Pediatric Surgery

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Brachial artery pseudoaneurysm after fixation of supracondylar fracture in a 9-year-old child

Cunha

Ávila

Gonçalves

et al. 2019

Journal of Pediatric Orthopaedics B

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The supracondylar humerus fracture is the most common elbow fracture in children, corresponding to 58% of these cases. The objective of this study is to report a rare postoperative complication, the pseudoaneurysm of the brachial artery. A 9-year-old girl with was admitted with a Gartland III supracondylar fracture of the right humerus, presenting normal neurological and vascular exams. The patient underwent a surgical treatment with percutaneous fixation and immobilization and was re-evaluated after 2 and 4 weeks. In the last evaluation the immobilization and fixation were removed. She returned after 3 months, presenting a progressive palpable, painless mass in the 1/3 distal right arm. The arterial ultrasound showed a mass in the cubital fossa, which presented internal flow and some wall thrombi, compatible with pseudoaneurysm of the brachial artery. After diagnosis, the treatment was a vascular surgery for dissection and reconstruction of the artery. The incidence of vascular involvement in Gartland III fractures ranges from 2% to 38%. False aneurysms originate from arterial hematomas caused by trauma to the arterial lumen, and their developing time can vary. There are few reports of this complication, so there is no consensus about the treatment.

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Successful conservative management of a superficial pediatric pseudoaneurysm

Cited by 3 publications

References 29 publications

Pseudoaneurysm of Dorsalis Pedis Artery Following Lisfranc Surgery: A Rare Complication

Pseudoaneurysm of Dorsalis Pedis Artery Following Lisfranc Surgery: A Rare Complication

Iatrogenic vascular trauma and complications of vascular access in children

Brachial artery pseudoaneurysm after fixation of supracondylar fracture in a 9-year-old child

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