Sternal erosion detected by computed tomographic angiography before repeat sternotomy in an adolescent with
Kevin O Herman1, U Joseph Schoepf, Scott M Bradley
1College of Medicine, Medical University of South Carolina, 165 Ashley Avenue, MSC 915, Charleston, SC 29425-9150, USA.
Abstract:
The case of a 17-year-old male with congenital heart disease who was found to have erosion of a pseudoaneurysm into his posterior sternum is presented. The pseudoaneurysm originated from a right ventricle-to-pulmonary artery homograft, which had been placed 11 years before. It had not been appreciated by echocardiography. The pseudoaneurysm and erosion were visualized with computed tomographic angiography before scheduled surgical replacement of the homograft. This unexpected finding was critical for operative planning and was confirmed on direct visualization in the operating room.
Related Concept Videos
Mitral Stenosis II: Clinical features and Diagnostic Tests
Imaging Studies for Cardiovascular System V: CT
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies


