Pulmonary Artery Aneurysm in a Child Secondary to Infective Endarteritis

Kiani, Ali Asghar; Radmehr, Hassan; Shabanian, Reza

doi:10.1007/s00246-007-9045-7

Cited by 13 publications

(10 citation statements)

References 5 publications

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“…9 Case reports have demonstrated evidence of pulmonary artery aneurysm arising from the site of a vegetation located at the area of PDA jet inflow. 10 Historically, infection leading to bacterial endocarditis has been described as one of the highest morbidity complications associated with a PDA pseudoaneurysm after ductus closure. It is unknown, however, whether the infective process preceded the operative intervention or was a result from it.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of Patent Ductus Arteriosus Following Previous PDA Closure: Case Report and Literature Review

Mikael

Andacheh

Yufa

et al. 2019

Vasc Endovascular Surg

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Background: Pseudoaneurysm developing after repair of a patent ductus arteriosus (PDA) is uncommon, with only a handful of cases reported in the literature. While older literature cites infection, recent series suggest that formation of pseudoaneurysm off of a ligated PDA attributed to breakdown in the suture line. Thoracic endovascular aortic repair (TEVAR) for this rare pathology has been demonstrated in selected case reports. Methods/Results: A 61-year-old woman presented with enlarging left chest mass and shortness of breath. The patient reported a history of a PDA with 2 attempts at closure. At age 6, she had undergone an attempt at endovascular closure of the PDA; this subsequently resulted in right lower extremity limb ischemia with resultant below-knee amputation. At age 12, she underwent open thoracotomy with ligation of the PDA; at this procedure, she had injury to her recurrent laryngeal nerve, resulting in permanent hoarseness of voice. A computed tomography angiogram of the chest was obtained, which demonstrated a saccular 4.5 × 3.8 cm pseudoaneurysm in the region of the PDA with calcific wall changes. Recommendation was made to proceed with operative repair and she agreed. A TEVAR was performed using a commercially available stent graft. During the procedure, intravascular ultrasound was performed; however, the connection between the PDA pseudoaneurysm and the aorta was not visualized. She had an uncomplicated operative and postoperative course. Follow-up imaging showed complete thrombosis of the pseudoaneurysm. Conclusions: Pseudoaneurysm from previous PDA repair is a rare pathology. We present a unique case in which the patient had undergone attempts at both endovascular and open surgical repair. Open repair for PDA is still advocated; however, TEVAR appears to be a safe treatment in adults with this pathology following failed open closure.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of Patent Ductus Arteriosus Following Previous PDA Closure: Case Report and Literature Review

Mikael

Andacheh

Yufa

et al. 2019

Vasc Endovascular Surg

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“…Even nowadays, increasing tuberculosis in some countries remains the main pathogenic factors of PAA . Several bacteria and fungi are less commonly factors of PAA including S. aureus , Streptococcus spp, Corynebacterium diphtheriae , Candida albicans , and Aspergillus flavus . Blood cultures with S. aureus increase the risk of a mycotic aneurysm.…”

Section: Discussionmentioning

confidence: 99%

“…10 Several bacteria and fungi are less commonly factors of PAA including S. aureus, Streptococcus spp, Corynebacterium diphtheriae, Candida albicans, and Aspergillus flavus. 7,11,12 Blood cultures with S. aureus increase the risk of a mycotic aneurysm. In a vessel wall already under stress, septic emboli can lodge and cause aneurysmal formation.…”

Section: A S E Rep Ortmentioning

confidence: 99%

Pulmonary artery aneurysm secondary to patent arterial duct and infection: A case report and review

Zhang

et al. 2018

Echocardiography

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Pulmonary artery aneurysms (PAAs) are very rare condition. In this paper, we report a case of a twenty‐year‐old female patient with the aneurysm of the pulmonary trunk secondary to the patent arterial duct (PDA) and infection. Diagnosis of PAA was confirmed by echocardiography. The pulmonary artery computed tomographic angiography also revealed the aneurysm and drawn a similar conclusion as echo did. The patient underwent surgery of ligation of PDA and PAA aneurysmectomy repairing with pericardium graft.

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“…The first rule in treatment should be to correct any underlying etiologic factors that can be addressed (e.g., infection should be treated; PDA and other congenital abnormalities amenable to surgery should be corrected) . Secondly, taking the rupture possibility into consideration, many have suggested aggressive management for all MPAA patients …”

Section: Discussionmentioning

confidence: 99%

“…10 Secondly, taking the rupture possibility into consideration, many have suggested aggressive management for all MPAA patients. 2,11,12 The surgical resection is the mainstay for the treatment of MPAAs, and it depends on the location and number of the MPAAs and on the clinical situation (such as hemoptysis or sepsis). 3 For proximal (main pulmonary trunk or main pulmonary artery) MPAAs, aneurysmorrhaphy, 13 aneurysmectomy, 10 or pericardium patch closure 14 are recommended, and pneumonectomy is an alternative.…”

Section: Discussionmentioning

confidence: 99%