Surgical management of ascending aortic pseudoaneurysm in a 2-year-old boy: A case report

被引:8
作者
Atiyah M. [1 ]
Mohsin S. [1 ]
Al Faraidi L. [2 ]
Al-Hawri K. [2 ]
Al Otay A. [1 ]
Al Najashi K. [1 ]
机构
[1] Pediatric Cardiology Department, Prince Sultan Cardiac Center, P.O. Box 99911, Riyadh
[2] Pediatric Cardiac Surgery Department, Prince Sultan Cardiac Center, Riyadh
关键词
Ascending aortic pseudo-aneurysm; Case report; Coarctation repair; Congenital heart surgery;
D O I
10.1186/s13256-018-1625-z
中图分类号
学科分类号
摘要
Background: Aortic pseudoaneurysms are rare but life-threatening complications usually seen after cardiac surgery. The causes could be multifactorial such as infection or trauma. Case presentation: We report the surgical management of a postoperative pseudoaneurysm of the ascending aorta caused by methicillin-resistant Staphylococcus aureus in a 2-year-old Middle Eastern boy who had undergone ventricular septal defect closure, subaortic membrane resection, and pulmonary artery de-banding. He was immediately operated on for resection of the aneurysm. A computed tomography scan at 2 months following surgery showed no aneurysm. Antibiotics were continued for 6 weeks and our patient was discharged with negative blood cultures. Conclusion: Early diagnosis and appropriate treatment of such rare complication can be lifesaving. © 2018 The Author(s).
引用
收藏
相关论文
共 13 条
[1]  
Dhadwal A.K., Abrol S., Zisbrod Z., Cunningham J.N., Pseudoaneurysms of the ascending aorta following coronary artery bypass surgery, J Card Surg, 21, 3, pp. 221-224, (2006)
[2]  
Brunner S., Engelmann M.G., Nabauer M., Thoracic mycotic pseudoaneurysm from Candida albicans infection, Eur Heart J., 29, 12, (2008)
[3]  
Coselli J.S., Crawford E.S., Williams T.W., Bradshaw M.W., Wiemer D.R., Harris R.L., Safi H.J., Treatment of postoperative infection of ascending aorta and transverse aortic arch, including use of viable omentum and muscle flaps, Ann Thorac Surg., 50, 6, pp. 868-881, (1990)
[4]  
Mainwaring R.D., Lamberti J.J., Rohrer C., Winkler M., Neck cannulation for the repair of thoracic artery aneurysms in the infant, J Card Surg., 8, pp. 541-545, (1993)
[5]  
Bizzarri F., Mattia C., Ricci M., Chirichilli I., Santo C., Rose D., Et al., Traumatic aortic arch false aneurysm after blunt chest trauma in a motocross rider, J Cardiothorac Surg, pp. 3-23, (2008)
[6]  
Bergsland J., Kawaguchi A., Roland J.M., Pieroni D.R., Subramaniam S., Mycotic aortic aneurysm in children, Ann Thorac Surg., 37, pp. 314-318, (1984)
[7]  
Barth H., Moosdorf R., Bauer J., Schranz D., Atinturk H., Mycotic pseudoaneurysm of the aorta in children, Pediatr Cardiol., 21, pp. 263-266, (2000)
[8]  
Mosca R.S., Kulik T.J., Marshall K., Hernandez R., Fletcher S.E., Mycotic pseudoaneurysm associated with aortic coarctation, J Cardiovasc Magn Reson., 2, pp. 209-212, (2000)
[9]  
Haas B., Wilt H.G., Carlson K.M., Lofland G.K., Streptococcus pneumonitis causing mycotic aneurysm in a pediatric patient with coarctation of the aorta, Congenital Heart Dis., 7, pp. 71-75, (2012)
[10]  
Sorelius K., Mani K., Bjorck M., Nyman R., Wanhainen A., Endovascular repair of mycotic aortic aneurysms, J Vasc Surg., 50, 2, pp. 269-274, (2009)