Related Experiment Video
Updated: Jun 10, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Giant aortic arch aneurysm after interrupted aortic arch repair
Alakananda Ghosh1, Amy Liu, Bassem Mora
1Section of Pediatric Cardiology, Department of Pediatrics, Comer Children's Hospital, University of Chicago, Chicago, IL, 60637-1470, USA.
Pediatric Cardiology
|August 11, 2010
Summary
A rare aortic arch aneurysm complication occurred in an 8-year-old boy following neonatal repair of interrupted aortic arch and ventricular septal defect. This unusual case highlights a potential long-term risk after complex congenital heart surgery.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Medical Complications
Background:
- Neonatal surgical repair of interrupted aortic arch type B and perimembranous ventricular septal defects are standard procedures.
- Long-term surveillance for potential complications is crucial in patients with complex congenital heart disease.
Observation:
- An 8-year-old male presented with a large aneurysm of the aortic arch.
- This occurred years after successful neonatal surgical correction.
Findings:
- The patient had a history of complete repair of interrupted aortic arch type B and perimembranous ventricular septal defect closure in the neonatal period.
- A large aortic arch aneurysm developed as a late complication.
Implications:
- This case represents a previously unreported complication in the English literature.
- It suggests the need for vigilant long-term monitoring of the aortic arch in patients with similar surgical histories.
- Further research may be warranted to understand the pathophysiology and optimal management of such aneurysms.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:30Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:10The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
01:14The Aorta
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...