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Related Experiment Video

Updated: Apr 20, 2026

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Published on: May 14, 2020

Free wall rupture after arterial switch operation.

Juan-Miguel Gil-Jaurena¹, Ángel Aroca², Ramón Pérez-Caballero¹

¹Pediatric Cardiac Surgery, Hospital Gregorio Marañón, Madrid, Spain.

The Annals of Thoracic Surgery

|December 4, 2014

Summary

A neonate developed a pseudoaneurysm after arterial switch operation and extracorporeal membrane oxygenation. Prompt surgical repair with BioGlue patch was successful, with the child remaining in good condition one year later.

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Area of Science:

Cardiovascular Surgery
Pediatric Cardiology
Biomaterials in Medicine

Background:

Arterial switch operation (ASO) is a complex neonatal cardiac surgery.
Postoperative complications, such as pseudoaneurysms, can occur after ASO.
Extracorporeal membrane oxygenation (ECMO) may be used for circulatory support.

Observation:

A neonate developed a pseudoaneurysm two weeks after ASO and ECMO support.
Echocardiography suggested a free wall rupture as the cause of the pseudoaneurysm.
The neonate required prompt surgical intervention for the suspected rupture.

Findings:

Surgical assessment confirmed a free wall rupture.
The rupture was successfully repaired using a patch with BioGlue.
The patient demonstrated a positive outcome one year post-intervention.

Implications:

BioGlue offers a viable option for managing complex cardiac ruptures in neonates.
Early detection and intervention are crucial for favorable outcomes in post-ASO complications.
This case highlights the importance of vigilant monitoring after ASO and ECMO support.