Case Report: Ascending Aortic Pseudo-Aneurysm Following Ventricular Septal Defect Repair in a 4-Year-Old Girl

Frontiers in Pediatrics

Rui Zhang¹  Xinya Li¹  Jianjun Ge¹  Jing Zhao²  Hong Zhou³  Tian Li⁴  Yu Zhang⁵ 

[1] Department of Cardiovascular Surgery, The First Affiliated Hospital, University of Science and Technology of China, Hefei, China;Department of Medical Imaging, The First Affiliated Hospital, University of Science and Technology of China, Hefei, China;Department of One-Day Ward, The First Affiliated Hospital, University of Science and Technology of China, Hefei, China;School of Basic Medicine, Fourth Military Medical University, Xi'an, China;Xinchang Hospital Affiliated to Wenzhou Medical University, Shaoxing, China;

关键词: pseudo-aneurysm;    ventricular septal defect;    ascending aorta;    cardiac surgery;    cardiopulmoanry bypass;   

DOI  :  10.3389/fped.2021.576527

来源: Frontiers

【 摘 要 】

Pseudo-aneurysm is a fatal disease, and the main cause of death is massive hemorrhage secondary to the rupture of the aneurysm. This case report aims to evaluate the effects of pseudo-aneurysm excision procedure on the disease. A 4-year-old girl was readmitted on the 20th day after ventricular septal defect (VSD) closure procedure with a high fever of 40°C; aortic pseudo-aneurysm was suspected based on a spherical cystic echo (82 × 76 mm) of the ascending aorta which was detected by ultrasonic cardiogram, and the diagnosis was confirmed by an aortic computed tomograph angiography (CTA) examination and intraoperative findings. Treatment included emergency pseudo-aneurysm excision procedure and antibiotic therapy. The aortic pseudo-aneurysm was surgically removed under deep hypothermia and circulatory arrest. Antibiotics were applied according to the bacterial culture results. The pseudo-aneurysm was excised successfully, and the patient achieved a good recovery. Our case suggests that the postoperative ascending aortic pseudo-aneurysm was probably due to inappropriate purse-string suture and/or local or systematic infection, so extra precautions should be taken to avoid this life-threatening complication.

【 授权许可】

CC BY