Left Ventricular Aneurysm Following Blunt-Force Trauma in a Child

Brock, Michael; Co-Vu, Jennifer; Bleiweis, Mark S.; Reyes, Karl G.; Shih, Renata

doi:10.1016/j.case.2018.08.002

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…A pseudoaneurysm typically lacks all three layers of cardiac tissue, possesses a narrow neck, and may demonstrate paradoxical (dyskinetic) movement during systole. However, such characteristics were not observed in our patient ( 4 ).…”

Section: Discussioncontrasting

confidence: 83%

“…Over 800 cases of congenital aneurysms have been documented in the literature ( 3 ). Acquired aneurysms can develop due to various factors such as injury (commonly blunt trauma from car accidents), myocardial infarction, myocarditis, pericarditis, or cardiac surgery ( 4 , 5 ). Congenital left ventricular aneurysms share similarities with acquired aneurysms, often featuring a wide connection to the left ventricle and impaired contractility, as observed in our case ( 3 ).…”

Section: Discussionmentioning

confidence: 99%

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Case Report: Heart aneurysm of unknown origin in a two-year-old child diagnosed in the course of Multisystem Inflammatory Syndrome in Children

Mystkowska,

Galeczka,

Tarala

et al. 2024

Front. Cardiovasc. Med.

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We present a case of a 22-month-old boy with a hypokinetic and thin-walled aneurysm of the left ventricle apex. The lesion was diagnosed during routine echocardiography examination in the course of MIS-C, and its occurrence due to MIS-C is plausible. Cardiac magnetic resonance imaging revealed an akinetic aneurysm of the LV apex with a full-wall ischemic scar. Aortography confirmed a normal course of coronary arteries, with adequate perfusion of essential branches and no evidence of stenosis or aneurysms. The boy underwent consultation with the heart team and was deemed eligible for surgery. The aneurysm was excised up to the margin of healthy tissues, and both the surgery and the periprocedural period were uneventful. Determining the origin of the aneurysm is challenging. The most probable etiology appears to be a congenital lesion. Another consideration is an ischemic lesion that may have resulted from impaired coronary circulation during the complicated course of MIS-C. It is possible that this disturbance resolved spontaneously before aortography was performed. Additionally, a complication of pericarditis cannot be entirely ruled out.

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Section: Discussioncontrasting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Case Report: Heart aneurysm of unknown origin in a two-year-old child diagnosed in the course of Multisystem Inflammatory Syndrome in Children

Mystkowska,

Galeczka,

Tarala

et al. 2024

Front. Cardiovasc. Med.

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“…3 The post-traumatic ventricular aneurysm is caused by either a myocardial contusion or ischemia due to trauma-induced thrombosis. 4,5 In our case, considering the tear of the septal branches, we suppose that the detachment of the IVS from the apical wall caused by mechanical compression was the primary lesion, which was followed by the aneurysmal dilatation of the injured apical wall.…”

Section: Discussionmentioning

confidence: 76%

Surgical treatment for a child with traumatic ventricular septal rupture and ventricular aneurysm

Tomotsuka,

Ikeda,

Ide

et al. 2024

Asian Cardiovasc Thorac Ann

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A five-year-old boy was diagnosed with the ventricular septal rupture and ventricular aneurysm after blunt chest trauma in child abuse. Because of the intractable heart failure, he underwent operation in subacute period. Postoperative course was uneventful. The blunt cardiac injury in children can be caused by mild trauma and can be lethal. Surgical intervention should be considered when the clinical condition is unstable.

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“…There are limited data regarding long-term outcomes and management of traumatic LVAs in children, with most of the studies in patients with LVA having been performed in the adult population ( 11 ). Complications of LVA are generally more common with large aneurysms.…”

Section: Discussionmentioning

confidence: 99%