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Traumatic aortic pseudoaneurysm.

Raed A Alsatli¹, A H Samarkandi, Ahmad Amer Al-Boukai

¹King Khalid University Hospital, Riyadh, KSA. alsatli@hotmail.com

Middle East Journal of Anaesthesiology

|January 18, 2005

Summary

A pediatric case report details a 5-year-old boy with a traumatic aortic arch aneurysm. Surgical repair was successful, restoring aortic integrity and lung function.

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Area of Science:

Cardiovascular Surgery
Pediatric Trauma
Thoracic Imaging

Background:

Blunt chest trauma in children can lead to rare but severe vascular injuries.
Aortic arch aneurysms present a significant surgical challenge, especially in pediatric patients.

Observation:

A 5-year-old male sustained blunt chest trauma, developing an aortic arch aneurysm.
Imaging revealed aneurysm compression of the left main bronchus, causing lung collapse.
Diagnostic modalities included CT scan, MRI, and aortography.

Findings:

Surgical resection and patch repair of the aortic arch aneurysm were performed under profound hypothermic circulatory arrest (PHCA) and cardiopulmonary bypass (CPB).
A concomitant left bronchial tear was successfully repaired.
Postoperative recovery involved mechanical ventilation, intensive chest physiotherapy, and bronchoscopies.

Implications:

This case highlights the successful management of a traumatic aortic arch aneurysm in a pediatric patient.
Effective surgical intervention and comprehensive postoperative care can restore both aortic and pulmonary function.
Emphasizes the importance of advanced imaging and surgical techniques in managing pediatric thoracic trauma.

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