Percutaneous Intervention With Balloon-Expandable Covered Stent for the Treatment of Traumatic Aortic Pseudoaneurysm in a Paediatric Patient

Subclavian Artery Pseudoaneurysm in an Eight-Year-Old Boy: A Rare Case Report and Review of Literature

Pseudoaneurysms, also known as fake aneurysms, are balloon-like bulges that develop in the arteries and veins. This can happen due to injury, surgery, infection, or other conditions that damage blood vessels. Pseudoaneurysms are usually asymptomatic but can bleed and be painful. Left untreated, they can lead to severe complications such as thrombus formation and distant embolization. Subclavian pseudoaneurysms are rare, which can lead to potentially life-threatening complications of traumatic or iatrogenic injuries to the subclavian artery, such as catheterization. Prompt diagnosis and management are essential to avoid devastating outcomes. We report the case of a pediatric patient who developed a subclavian pseudoaneurysm after neck trauma and was successfully treated with endovascular embolization. This case highlights the importance of timely management and vigilant monitoring for this rare but potentially life-threatening condition.

Late Complications After Previous Surgical Repair for Coarctation With Extra-Anatomic Bypass Graft: Report on Two Cases

Surgical correction of aortic coarctation (CoA) has been the standard treatment in infants and adolescents to prevent late consequences related to obstruction and distal hypoperfusion. Several surgical techniques for CoA repair have traditionally been applied. However, late complications, including re-CoA and pseudoaneurysm formation, are not uncommon. The incidence of complications is highly related to the type of initial surgery. Here, we are reporting two cases of late complications related to an infrequently used surgical technique, the extra-anatomical aortic bypass graft (EABG). The first case presented with pseudoaneurysm at the distal anastomosis site with the descending aorta and treated by endovascular stent graft. The second case presented with stenosis at the proximal anastomosis site with the left subclavian artery (LSCA) and treated medically upon the request of the patient.