Carotid Artery Dissection Following Neck Cannulation for Extracorporeal Life Support. (May 2017)

• Record Type: Journal Article
• Authors: Ryerson, Lindsay M.; Sanchez-Glanville, Carlos; Huberdeau, Christa; Aklabi, Mohammed Al
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 8:Number 3(2017)
• Page Start: 414
• Page End: 416
• Publication Date: 2017-05
• Subjects: extracorporeal membrane oxygenation (ECMO) -- neonate -- arrhythmia -- artery/arteries; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135116639542
• Languages: English
• ISSNs: 2150-1351

Abstract

A term neonate was cannulated for venoarterial extracorporeal life support (ECLS) via the right neck for non-postoperative junctional ectopic tachycardia. Initial echocardiogram demonstrated an echogenic strand in the transverse arch. Computed tomography angiogram confirmed arterial dissection of the right common carotid artery that extended into the proximal transverse arch. Dissection flap was repaired at the time of ECLS decannulation without cardiopulmonary bypass. Follow-up computed tomography angiogram revealed a segment of narrowing of approximately 50% of the right common carotid artery without false lumen or aneurysm.