Journal of JCIC

Online edition: ISSN 2432–2342
JCIC学会事務局 JCIC学会事務局
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of JCIC 7(2): 24-27 (2023)

症例報告Case Report

外傷性腕頭動脈仮性瘤をカバードステントで閉鎖した1小児例A Child Case with Traumatic Brachiocephalic Artery Pseudoaneurysm Closed Using a Covered Stent

1沖縄県立南部医療センター・こども医療センター小児科Department of Pediatrics, Okinawa Prefectural Nanbu Medical Center & Children’s Medical Center

2沖縄県立北部病院小児科Department of Pediatrics, Okinawa Prefectural Hokubu Hospital

3沖縄県立南部医療センター・こども医療センター小児循環器内科Department of Pediatric Cardiology, Okinawa Prefectural Nanbu Medical Center & Children’s Medical Center

4沖縄県立南部医療センター・こども医療センター小児集中治療科Department of Pediatric Critical Care, Okinawa Prefectural Nanbu Medical Center & Children’s Medical Center

5沖縄県立南部医療センター・こども医療センター放射線科Department of Radiology Okinawa Prefectural Nanbu Medical Center & Children’s Medical Center

受付日:2022年6月29日Received: June 29, 2022
受理日:2022年12月23日Accepted: December 23, 2022
発行日:2023年3月31日Published: March 31, 2023


We report an 8-year-old girl who had a blunt injury including bilateral pulmonary contusion, left pneumothorax, and pseudoaneurysm of the brachiocephalic artery after a car accident. We emergently implanted covered stents into the brachiocephalic artery via the right femoral artery to close the orifice into the pseudoaneurysm after treating the pulmonary contusion and pneumothorax conservatively.

Vigilant early diagnosis and timely surgical treatment are critical for patients with rapid bleeding and high mortality following brachiocephalic arterial injury. Endovascular treatment such as covered stent implantation is an effective treatment option with less invasiveness and rapid achievement for patients without rapid bleeding having a pseudoaneurysm or partial transection of it.


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