Successful conservative management of a superficial pediatric pseudoaneurysm
Purpose: (1) To report a case of successful non-operative management of a pediatric pseudoaneurysm in a patient with severe factor V deficiency. (2) To review the literature on pediatric pseudoaneurysms managed with a trial of conservative therapy. Methods: A review of the literature was conducted o...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-04-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576618300022 |
| _version_ | 1818466553311526912 |
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| author | Jouseph Osama Barkho Anthony K.C. Chan Matthew Choi |
| author_facet | Jouseph Osama Barkho Anthony K.C. Chan Matthew Choi |
| author_sort | Jouseph Osama Barkho |
| collection | DOAJ |
| description | Purpose: (1) To report a case of successful non-operative management of a pediatric pseudoaneurysm in a patient with severe factor V deficiency. (2) To review the literature on pediatric pseudoaneurysms managed with a trial of conservative therapy. Methods: A review of the literature was conducted on OVID-Medline for case reports or series of pediatric pseudoaneurysms managed conservatively (observation or external compression). Only superficial, radiologically confirmed pseudoaneurysms managed conservatively were included. Demographic data, etiology, treatment modalities, success rates, and definitive management for cases where conservative management failed were examined. Results: Twelve case reports of 13 pseudoaneurysms met inclusion criteria. Including our case, the mean age was 7 years and the most common pseudoaneurysm etiology was iatrogenic (57%). Seventy-nine per cent (11/14) of pseudoaneurysms resolved with conservative management, and 21% (3/14) proceeded to surgery due to increasing size, bleeding, or pain. Of those pseudoaneurysms successfully treated conservatively, 18% (2/11) developed a complication. Five pseudoaneurysms occurred in patients with coagulopathies, all of which resolved conservatively. Conclusion: In stable, asymptomatic superficial pediatric pseudoaneurysms, a trial of conservative management and close follow-up is a reasonable option, even in patients with coagulopathies. Keywords: False aneurysm, Neonate, Conservative, Non-surgical, Hemophilia |
| first_indexed | 2024-04-13T20:59:50Z |
| format | Article |
| id | doaj.art-6759e772773f4e4bbd1926f5ae1e0e1d |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-13T20:59:50Z |
| publishDate | 2018-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-6759e772773f4e4bbd1926f5ae1e0e1d2022-12-22T02:30:11ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662018-04-01316468Successful conservative management of a superficial pediatric pseudoaneurysmJouseph Osama Barkho0Anthony K.C. Chan1Matthew Choi2Division of Plastic and Reconstructive Surgery, McMaster University, CanadaDepartment of Pediatrics, McMaster University, CanadaDivision of Plastic and Reconstructive Surgery, McMaster University, Canada; Corresponding author. 1280 Main Street West, L8N 3Z5, Canada.Purpose: (1) To report a case of successful non-operative management of a pediatric pseudoaneurysm in a patient with severe factor V deficiency. (2) To review the literature on pediatric pseudoaneurysms managed with a trial of conservative therapy. Methods: A review of the literature was conducted on OVID-Medline for case reports or series of pediatric pseudoaneurysms managed conservatively (observation or external compression). Only superficial, radiologically confirmed pseudoaneurysms managed conservatively were included. Demographic data, etiology, treatment modalities, success rates, and definitive management for cases where conservative management failed were examined. Results: Twelve case reports of 13 pseudoaneurysms met inclusion criteria. Including our case, the mean age was 7 years and the most common pseudoaneurysm etiology was iatrogenic (57%). Seventy-nine per cent (11/14) of pseudoaneurysms resolved with conservative management, and 21% (3/14) proceeded to surgery due to increasing size, bleeding, or pain. Of those pseudoaneurysms successfully treated conservatively, 18% (2/11) developed a complication. Five pseudoaneurysms occurred in patients with coagulopathies, all of which resolved conservatively. Conclusion: In stable, asymptomatic superficial pediatric pseudoaneurysms, a trial of conservative management and close follow-up is a reasonable option, even in patients with coagulopathies. Keywords: False aneurysm, Neonate, Conservative, Non-surgical, Hemophiliahttp://www.sciencedirect.com/science/article/pii/S2213576618300022 |
| spellingShingle | Jouseph Osama Barkho Anthony K.C. Chan Matthew Choi Successful conservative management of a superficial pediatric pseudoaneurysm Journal of Pediatric Surgery Case Reports |
| title | Successful conservative management of a superficial pediatric pseudoaneurysm |
| title_full | Successful conservative management of a superficial pediatric pseudoaneurysm |
| title_fullStr | Successful conservative management of a superficial pediatric pseudoaneurysm |
| title_full_unstemmed | Successful conservative management of a superficial pediatric pseudoaneurysm |
| title_short | Successful conservative management of a superficial pediatric pseudoaneurysm |
| title_sort | successful conservative management of a superficial pediatric pseudoaneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2213576618300022 |
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