Balloon-expandable covered stent implantation for treatment of traumatic aortic pseudoaneurysm in a pediatric patient

Abstract

Graphical abstract

Ascending aortic pseudoaneurysm presenting as heart failure in a child – A rare complication associated with coronavirus disease 2019

“…The common etiological causes are postcardiac surgery, mycotic aneurysm, or blunt chest trauma. [ 4 5 ] These patients may be asymptomatic in small rupture to acute presentation in larger defects. Our patient had presented with gross CHF due to ventricular dysfunction.…”

“…[ 2 3 ] Aortic pseudoaneurysm presenting as congestive heart failure (CHF) in children is rare and usually due to mycotic aneurysm, followed by cardiac surgery or blunt chest trauma. [ 4 5 ] COVID-19-producing aortic pseudoaneurysm is not known, and multiple mechanisms play a role in the pathological process. Platelet aggregation, thrombotic occlusion of vasa vasorum, activation of the complement system or secondary bacterial or fungal infection leading to necrosis, and rupture of the aorta are some possible hypotheses of pseudoaneurysm of the aorta.…”

Percutaneous Intervention With Balloon-Expandable Covered Stent for the Treatment of Traumatic Aortic Pseudoaneurysm in a Paediatric Patient

“…It is also used successfully in treating late complications associated with the surgical repair of CoA [6]. There are several case reports of the successful use of a balloon-expandable stent in TAI in the paediatric population [7]. In the majority of cases, the Cheatham Platinum (CP) covered stent (B. Braun, Melsungen, Germany) is usually used.…”

Undersized Stentgraft Placement for Traumatic Descending Aorta Rupture, and What Is Next?

“…The problem persists when we deal with undersized aortas in adults. No dedicated endovascular tools exist for these cases, which means we have to implement ad hoc solutions [ 8 , 9 ]. Measuring and fitting appropriate endovascular equipment in hemorrhagic young patients is yet another problem.…”