Mycotic aortic aneurysm in a child with aortic coarctation

Abstract

The recipient was extubated at 5 days after the transplant, and the bronchial and vascular anastomoses appeared to exhibit no kinking and obstruction (Figure 2, C and D). The recipient was discharged from the hospital without oxygen inhalation.The implanted middle lobe remained clear on chest radiography and computed tomography 1 year after the transplant (Figure 1, B and D). The values for the ratio of PaO 2 to inspired oxygen fraction before transplant and 1 year after the transplant were 127 and 384, respectively. Percentage of forced expiratory volume in 1 second values for the donor before and 3 months after the donor operation were 136% and 103%, respectively. The donor and the recipient have been enjoying their healthy lives after the transplant. DISCUSSIONMiddle lobes from adult living donors could contribute to saving small pediatric patients. Limitations of this procedure are as follows: (1) The donor middle lobe should have single arterial, venous, and bronchial branches.Otherwise, the requirement of patch repair may increase the potential surgical risks of the donor operation. (2) An additional contralateral lung transplant may be required as the recipient grows.Living donor lingula or segmental lung transplant might be an alternative strategy.

Thoracic Aortic Aneurysm Revealed by Haemoptysis on a 10-Year-Old Girl at Paediatrics Department of Yalgado Ouedraogo University Hospital

“…However, abdominal aortic aneurysm can also be caused by an infected umbilical catherism [7]; aneurysm of tuberculosis and mycosis origin has also been reported [8] [9] [10]. Our patient had several vascular defects: pseudocoarctation of aorta and aberrant sub clavian arteries.…”

Case Report: Acute Renal Infarction in a Child With Coarctation of Aorta

“…Renal manifestation as the initial presentation of aortic aneurysm is very uncommon and carries diagnostic challenges in patients with previously unrecognized CoA ( 10 ). To our knowledge, coarctation-associated aneurysms have been reported in only two pediatric patients who had no prior repair ( 11 , 12 ). The exact pathogenesis of aneurysms formation of untreated CoA remains unclear.…”

Native aortic coarctation presenting as prolonged pyrexia in a teenager with 22q11.2 deletion

“…1,2 In addition, mycotic aneurysms have also been previously reported in the setting of native or undiagnosed CoA of the aorta and may be the first clinical presentation of the disease, usually in late childhood or in adult life. [10][11][12][13][14][15] Aneurysms in patients with CoA have also been reported in the left subclavian artery, innominate artery, intercostal artery and abdominal aorta. In addition, 10% of CoA patients develop berry aneurysms of the circle of Willis usually during the fourth to fifth decade.…”

“…The co‐existence of a bicuspid aorta, which is present in 50–80% of patients, increases the risk of cystic medial necrosis and aneurysm formation . In addition, mycotic aneurysms have also been previously reported in the setting of native or undiagnosed CoA of the aorta and may be the first clinical presentation of the disease, usually in late childhood or in adult life . Aneurysms in patients with CoA have also been reported in the left subclavian artery, innominate artery, intercostal artery and abdominal aorta.…”