Unconventional Surgical Intervention for Left Ventricular Pseudoaneurysm Associated With Staphylococcus aureus in a
Fernando Chavarri1,2, Miguel Pinto2,3, Yeli Torres2,3
1Pediatric Cardiovascular Surgery Service, Instituto Nacional Cardiovascular "Carlos Peschiera Carrillo," Lima, Peru.
Insights
Left ventricular pseudoaneurysms are rare in children. This case highlights successful treatment of a pediatric pseudoaneurysm caused by Staphylococcus aureus using antibiotics and novel surgery.
Area of Science:
- Cardiology
- Pediatric Medicine
- Infectious Diseases
Background:
- Ventricular pseudoaneurysms are exceedingly rare in pediatric populations.
- Left ventricular pseudoaneurysms can arise from various etiologies, including infection.
Observation:
- A six-year-old child presented with a left ventricular pseudoaneurysm.
- The condition was associated with methicillin-sensitive Staphylococcus aureus (MSSA) infection.
- The patient also developed constrictive pericarditis.
Findings:
- Successful management involved targeted antibiotic therapy against MSSA.
- Surgical intervention, specifically ventriculoplasty, was performed due to complications.
- The surgical approach was unconventional, addressing the complex presentation.
Implications:
- This case underscores the possibility of treating pediatric ventricular pseudoaneurysms, even with associated complications like constrictive pericarditis.
- It highlights the importance of prompt diagnosis and multimodal treatment strategies.
- The successful outcome suggests that innovative surgical techniques can be effective in managing rare pediatric cardiovascular conditions.
Abstract:
Ventricular pseudoaneurysms are very unusual in children. A six-year-old child developed left ventricular pseudoaneurysm associated with methicillin-sensitive Staphylococcus aureus. The patient responded favorably to antibiotic therapy and ventriculoplasty through an unconventional surgery due to the constrictive pericarditis.
