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Surgical management of ascending aortic pseudoaneurysm in a 2-year-old boy: a case report

Merna Atiyah1, Shazia Mohsin2, Lama Al Faraidi3

  • 1Pediatric Cardiology Department, Prince Sultan Cardiac Center, P.O. Box 99911, Postal Code 11159, Riyadh, Kingdom of Saudi Arabia. Matiyah@pscc.med.sa.

Journal of Medical Case Reports
|April 18, 2018
PubMed
Abstract

Insights

Surgical repair of a rare ascending aorta pseudoaneurysm caused by MRSA infection in a child was successful. Early diagnosis and treatment of this life-threatening complication are crucial for survival.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Pediatric Cardiology

Background:

  • Aortic pseudoaneurysms are uncommon, potentially fatal complications following cardiac surgery.
  • Causes are often multifactorial, including infection and trauma.

Observation:

  • A 2-year-old boy developed a postoperative ascending aorta pseudoaneurysm.
  • The pseudoaneurysm was attributed to methicillin-resistant Staphylococcus aureus (MRSA) infection.
  • The patient had previously undergone ventricular septal defect closure, subaortic membrane resection, and pulmonary artery de-banding.

Findings:

  • The patient underwent immediate surgical resection of the ascending aorta pseudoaneurysm.
  • Postoperative computed tomography scan at 2 months revealed no residual aneurysm.
  • The patient completed a 6-week course of antibiotics and was discharged with negative blood cultures.

Implications:

  • This case highlights the successful surgical management of a rare, MRSA-induced aortic pseudoaneurysm in a pediatric patient.
  • Prompt diagnosis and intervention are critical for managing life-threatening aortic pseudoaneurysms.
  • Effective antibiotic therapy is essential in treating infectious aortic pseudoaneurysms.
Keywords:
Ascending aortic pseudo-aneurysmCase reportCoarctation repairCongenital heart surgery

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