Mycotic aneurysm in infancy: A complication of umbilical artery catheterization

Wind, Edward S.; Wisoff, B. George; Baron, Murray; Balsam, Dvorah; Gootman, Norman; Harrison, Dewey A.

doi:10.1016/s0022-3468(82)80025-0

Cited by 11 publications

(4 citation statements)

References 3 publications

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“…Eight of the 13 cases were not diagnosed until autopsy [2][3][4][5][6] or surgery [1, 5,7]. Of the five remaining cases, diagnosis was by aortography, but study of the various case reports suggests that in only three was the diagnosis entertained prior to the aortogram [3,8,9]. The other two were incidental findings, one on an angiocardiogram done to investigate a heart murmur [10] and the other on an aortogram to evaluate a possible mesenteric artery occlusion [3].…”

Section: Discussionmentioning

confidence: 99%

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Aortic aneurysm secondary to umbilical artery catheterization

et al. 1985

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Section: Discussionmentioning

confidence: 99%

“…In neither case was a specific diagnosis made on this basis. Dynamic scans were not performed [5,9]. Two of the three patients with abdominal aneurysms had a mass on plain film or excretory urography [1,8].…”

Section: Discussionmentioning

confidence: 99%

Aortic aneurysm secondary to umbilical artery catheterization

et al. 1985

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“…Atherosclerosis, blunt or penetrating traumas, infections, cystic medial necrosis, fibromuscular dysplasia and congenital anomalies are the most common causes of cervical carotid aneurysms, which occur with decreasing frequencies in the common, internal and external carotid arteries, respectively [8,12,15,26,32]. Mycotic carotid aneurysms are even moreuncommon [1,11,14,16], especially during childhood [33]; in fact, to our knowledge, no case affecting the external carotid artery has been described in the literature since 1966.…”

Section: Introductionmentioning

confidence: 99%

Pseudo aneurysm of the external carotid artery: report of a case

Maurizi

Almadori

Paludetti

et al. 1985

International Journal of Pediatric Otorhinolaryngology

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The authors report a case of left otorrhagia in a 1-year-old male infant in the presence of a mass involving the parotideal and upper cervical regions, which had appeared after an infection of the upper airways. Non-invasive techniques, such as echography and CT scan, provided useful but contradicting information. Surgery allowed us to define the diagnosis of mycotic aneurysm of the external carotid artery. The authors, after pointing out the extreme rarity of such a pathology, discuss the ethiopathogenetic theories, the clinical features, the diagnosis and the surgical and medical treatment of the disease. Concerning surgery ligation of the external carotid artery is the treatment of choice, since distally the blood flow is provided by a conspicuous collateral circle and because a possible postoperative septic dissemination is avoided.

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“…11 Since then, more than 35 cases of aortic aneurysm resulting from umbilical artery catheters have been reported; however, a consistent method of evaluation and management has not evolved. [1][2][3][4][12][13][14][15][16][17][18][19][20] The purposes of this article are to (1) provide an overview regarding the causes of aortic aneurysms in children, (2) report another aortic aneurysm resulting from umbilical artery catheterization, and (3) suggest a diagnosis and treatment algorithm for this complication.…”

mentioning

confidence: 99%

Aortic aneurysm resulting from umbilical artery catheterization: Case report, literature review, and management algorithm

Mendeloff¹,

Stallion²,

Hutton³

et al. 2001

Journal of Vascular Surgery

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Aortic aneurysms in infants and children are quite rare. The use of umbilical artery catheters in the management of critically ill neonates has been associated with infection and subsequent aneurysm formation. There have been 46 cases reported (including our own); most of the aneurysms have been located in the abdominal aorta and have displayed saccular morphology. Through an analysis of the literature, we identified two factors that had significant correlation with improved survival: diagnosis before surgery and surgical repair (P <.05). This report presents the case of a 23-day-old neonate with an abdominal aortic aneurysm and hypertension. On the basis of our literature review, we offer a management algorithm for this rare but very serious complication of umbilical artery catheterization.

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Mycotic aneurysm in infancy: A complication of umbilical artery catheterization

Cited by 11 publications

References 3 publications

Aortic aneurysm secondary to umbilical artery catheterization

Aortic aneurysm secondary to umbilical artery catheterization

Pseudo aneurysm of the external carotid artery: report of a case

Aortic aneurysm resulting from umbilical artery catheterization: Case report, literature review, and management algorithm

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