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Archivos de cardiología de México

versão On-line ISSN 1665-1731versão impressa ISSN 1405-9940

Resumo

SANCHEZ-ESCOBAR, Isabel C. et al. Successful endovascular treatment of aortic arch aneurysm in a pediatric patient. Arch. Cardiol. Méx. [online]. 2024, vol.94, n.1, pp.48-54.  Epub 07-Maio-2024. ISSN 1665-1731.  https://doi.org/10.24875/acm.22000272.

Background:

Ascending aortic aneurysms are rare pathologies in childhood, especially in the absence of previous diseases such as Marfan syndrome.

Objective:

Present the possibility of successful endovascular management of large vessel aneurysms, using stents and microcatheters with embolization of the aneurysm sac.

Method:

We present the case of a previously healthy ten-year-old patient, in whom a pseudoaneurysm was documented between the origin of the left common carotid artery and left subclavian artery, successfully managed endovascularly, initially with a stent covering the neck of the aneurysm to remodel it and later with embolization of the aneurysm sac using a microcatheter.

Results:

Aneurysms of large vessels, such common carotid artery and subclavian artery, are at risk of rupture with devastating complications; endovascular management is considered a minimally invasive management option, with favorable results.

Conclusion:

The endovascular management of large vessel aneurysms using stents and microcatheters with embolization of the aneurysmal sac is a novel management option that achieves successful results.

Palavras-chave : Aneurysm; Aortic arch; Coils embolization.

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