Aortic pseudoaneurysm in a child with a left mainstem bronchial stent
Matthew D Di Guglielmo1, James H Hertzog
1Department of Pediatrics, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital For Children, Wilmington, DE, USA.
Summary
A metallic bronchial stent in a child led to a rare aortic pseudoaneurysm. This case highlights a potential complication of airway stenting in pediatric patients.
Area of Science:
- Pediatric Cardiology
- Thoracic Surgery
- Interventional Pulmonology
Background:
- Metallic bronchial stents are used to manage complex airway issues in children, such as bronchomalacia.
- Complications associated with these stents are not fully characterized, particularly in the pediatric population.
Observation:
- A 12-year-old boy with left mainstem bronchomalacia, treated with a metallic stent, presented with tracheostomy bleeding.
- Diagnostic imaging revealed a pseudoaneurysm of the descending thoracic aorta adjacent to the metallic stent.
Findings:
- This case represents the first documented instance of an aortic pseudoaneurysm occurring in conjunction with a bronchial stent in a pediatric patient.
- The pseudoaneurysm was identified as the source of bleeding.
Implications:
- This case underscores the importance of considering vascular complications when managing pediatric patients with metallic bronchial stents.
- Further surveillance and investigation into the long-term safety of metallic bronchial stents in children are warranted.
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