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Mycotic aneurysm of ascending aorta in an infant

Kazutoshi Tachibana1, Nobuyuki Takagi, Kazushige Kannki

  • 1Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan. aad72150@pop17.odn.ne.jp

Asian Cardiovascular & Thoracic Annals
|February 23, 2013
PubMed

Insights

A rare infant mycotic aneurysm of the ascending aorta caused by group A streptococcus was successfully repaired with an autologous pericardial patch. The child recovered well, showing normal development and heart rhythm at five years.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Infectious Diseases

Background:

  • Mycotic aneurysms of the ascending aorta are exceptionally rare in infants.
  • Group A Streptococcus septicemia can lead to severe complications, including aortic aneurysms.

Observation:

  • A 12-month-old infant presented with a mycotic aneurysm of the ascending aorta secondary to group A Streptococcus septicemia.
  • The infant developed atrioventricular block, and the aneurysm rapidly progressed despite medical management.

Findings:

  • Emergency surgical intervention was necessary due to rapid aneurysm progression and associated atrioventricular block.
  • The mycotic aneurysm was successfully repaired using an autologous pericardial patch.

Implications:

  • This case highlights the successful surgical management of a rare pediatric mycotic aortic aneurysm.
  • Autologous pericardial patch repair offers a viable option for complex aortic reconstructions in infants.
  • Early surgical intervention can lead to favorable long-term outcomes in infants with mycotic aortic aneurysms.

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