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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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Ductal stent endocarditis resulting in a large aortic pseudoaneurysm
Matthew C Schwartz1, Keerti Dantuluri2, Thomas Maxey3
1Division of Pediatric Cardiology, Sanger Heart and Vascular Institute, Levine Children's Hospital, Charlotte, North Carolina, USA.
Summary
A rare case of Streptococcus gallolyticus subsp. pasteurianus endocarditis developed in an infant after neonatal ductal stenting, leading to aortic pseudoaneurysm requiring surgical repair.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Medical Device Complications
Background:
- Ductal stenting is a critical intervention for infants with ductal-dependent pulmonary blood flow.
- Neonatal cardiac interventions carry inherent risks, including infection and structural complications.
Observation:
- An infant treated with neonatal ductal stenting developed endocarditis four months post-procedure.
- The causative agent was identified as Streptococcus gallolyticus subsp. pasteurianus.
- The infection was linked to a moderate aortic pseudoaneurysm.
Findings:
- Successful antibiotic treatment and surgical repair of the aortic pseudoaneurysm were performed.
- This case highlights an unusual complication of ductal stent placement.
Implications:
- Clinicians should be vigilant for infectious complications, such as endocarditis, following neonatal ductal stenting.
- Prompt diagnosis and management are crucial for favorable outcomes in such cases.
- Further research may be warranted to understand the mechanisms and incidence of this complication.
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