A life-threatening infective pseudoaneurysm of the left ventricle in a toddler
Mani Ram Krishna1, Brijesh P Kottayil2, Gopalraj Sumangala Sunil2
1Department of Pediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre, Ponekkara, Kochi, Kerala, India.
Insights
Ruptured ventricular pseudoaneurysms in children, often from infection, need urgent surgery. Emergency surgical closure offers an excellent outcome for these rare cardiac emergencies.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Infectious Diseases
Background:
- Ventricular pseudoaneurysms are rare in children, often resulting from prior cardiac surgery or pericardial infections.
- Infective pseudoaneurysms pose a significant risk of catastrophic rupture, necessitating prompt surgical intervention.
Observation:
- A toddler presented with a ruptured pseudoaneurysm.
- The condition was secondary to purulent pericarditis.
Findings:
- The toddler underwent emergency surgical closure of the pseudoaneurysm.
- Successful recovery was achieved following the intervention.
Implications:
- Urgent surgical management is crucial for ruptured infective pseudoaneurysms in pediatric patients.
- Prompt surgical intervention leads to excellent outcomes in cases of ventricular pseudoaneurysms.
Abstract:
Pseudoaneurysms of the ventricle are an uncommon occurrence in children. They may be secondary to previous cardiac surgery or infection of the pericardial space. Infective pseudoaneurysms require urgent surgery because rupture of the pseudoaneurysm may have catastrophic consequences. The outcome with surgery is excellent. We report a toddler with ruptured pseudoaneurysm secondary to purulent pericarditis who recovered with an emergency surgical closure of the opening of the pseudo-aneurysm.
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