Aortocarotid bypass for hemispheric hypoperfusion in a child

Document Type

Article

Abstract

Large-vessel vasculitis syndromes in the pediatric population are rare and highly morbid. The authors here report on the microsurgical revascularization of a unique case of presumed vasculitis with aortitis and severe obliterative arteriopathy in a 10-month-old child with symptomatic hemispheric hypoperfusion. Using a cryopreserved saphenous vein, this unilateral aortocarotid bypass restored normal intracranial perfusion bilaterally and led to a resolution of the patient's ischemic symptoms. The aortocarotid bypass is clinically effective and technically feasible in young children when a saphenous vein allograft is used. The bypass graft is amenable to angioplasty with or without stenting if delayed stenosis becomes an issue later in life.

Medical Subject Headings

Aorta (surgery); Aortitis (surgery); Brain Ischemia (surgery); Carotid Artery, Common (surgery); Cerebral Angiography; Humans; Infant; Magnetic Resonance Imaging; Male; Microsurgery (methods); Peripheral Vascular Diseases (surgery); Saphenous Vein (transplantation); Transplantation, Homologous

Publication Date

4-2-2008

Publication Title

Journal of neurosurgery. Pediatrics

ISSN

1933-0707

Volume

1

Issue

4

First Page

343

Last Page

7

PubMed ID

18377314

Digital Object Identifier (DOI)

10.3171/PED/2008/1/4/343

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