Restricted accessCase reportFirst published online 2025-9
Unintended Consequences of Innominate Artery Cannulation in a Pediatric Patient: Infection of Innominate Artery Graft Stump With Subsequent Formation of Right Common Carotid Artery Pseudoaneurysm
Indirect arterial cannulation techniques, such as cannulation of the innominate artery (IA) using an end-to-side anastomosed vascular graft, are commonly used to establish cardiopulmonary bypass in congenital cardiac surgery. Although rare, unintended consequences, such as graft infection, may occur. We describe a case of IA graft infection with subsequent pseudoaneurysm formation in a 10-year-old child who underwent multiple procedures for Tetralogy of Fallot with absent pulmonary valve syndrome.
Get full access to this article
View all access options for this article.
References
1.
Knott-CraigCJPastuszkoPOverholtED.
Simplified aortic cannulation (SAC)—a useful technique for neonates with small aortas. J Cardiothorac Surg.
2006;
1(
1):
13. doi:https://doi.org/10.1186/1749-8090-1-13
2.
BrancaccioGPerriGDella PortaM, et al.Use of carotid artery cannulation during redo sternotomy in congenital cardiac surgery: a single-centre experience. Interact Cardiovasc Thorac Surg.
2021;
33(
1):
119–
123. doi:https://doi.org/10.1093/icvts/ivab060
3.
GargPBishnoiAKLakhiaK, et al.Cervical cannulation for surgical repair of congenital cardiac defects in infants and small children. Braz J Cardiovasc Surg.
2017;
32(
2):
111–
117. doi:https://doi.org/10.21470/1678-9741-2016-0083
4.
KurkluogluMBadiaSPeerSMJonasRShankarVSinhaP.
Patency of common carotid artery and internal jugular vein after a simple vessel sparing cannulation for extracorporeal membrane oxygenation support. J Pediatr Surg.
2017;
52(
11):
1806–
1809. doi:https://doi.org/10.1016/j.jpedsurg.2017.08.001
5.
SenguptaAAljohaniOAFaganBMoJLambertiJJMurthyR.
Pseudoaneurysm of innominate artery graft stump in an infant. Ann Thorac Surg.
2022;
113(
6):
e441–
e443. doi:https://doi.org/10.1016/j.athoracsur.2021.08.048
6.
LieskerDJGarebBLoomanRS, et al.Patch angioplasty during carotid endarterectomy using different materials has similar clinical outcomes. J Vasc Surg.
2023;
77(
2):
559–
566.e1. doi:https://doi.org/10.1016/j.jvs.2022.09.027
7.
KimJBEjioforJIYammineM, et al.Are homografts superior to conventional prosthetic valves in the setting of infective endocarditis involving the aortic valve?J Thorac Cardiovasc Surg.
2016;
151(
5):
1239–
1246,
1248.e1–2. doi:https://doi.org/10.1016/j.jtcvs.2015.12.061
8.
LoffroyRRaoPOtaS, et al.Packing technique for endovascular coil embolisation of peripheral arterial pseudo-aneurysms with preservation of the parent artery: safety, efficacy and outcomes. Eur J Vasc Endovasc Surg.
2010;
40(
2):
209–
215. doi:https://doi.org/10.1016/j.ejvs.2010.03.009
