Aortic Repair Through a Left Thoracotomy in a 12-Year-Old Child with Traumatic Aortic Pseudoaneurysm: A Case Report

Aortic Pseudoaneurysm Repair in A Child

Authors

  • Kan Wang Department of Cardiothoracic Surgery, the Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China
  • Wenliu Xu Department of Cardiothoracic Surgery, the Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China
  • Chaojie Wang Department of Cardiothoracic Surgery, the Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China
  • Jiaxin Hu
  • Songtao Tan Department of Cardiothoracic Surgery, the Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China
  • Xiaoping Fan Department of Cardiothoracic Surgery, the Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China

DOI:

https://doi.org/10.1532/hsf.5017

Keywords:

traumatic pseudoaneurysm, children, descending aorta, distal perfusion, Aortic repair

Abstract

Traumatic pseudoaneurysm of the descending aorta is a rare but life-threatening disease, especially in children. Open surgical replacement and thoracic endovascular repair in treating traumatic pseudoaneurysm to prevent aortic rupture rarely have been reported in children. Here, we present a rare case of aortic pseudoaneurysm caused by trauma in a 12-year-old child treated with an alternative surgical strategy. Aortic repair without an implant assisted by distal perfusion was performed through a left thoracotomy. The child satisfactorily recovered, was discharged, and remained in a good condition during the follow-up period.

References

Gandhi SK, et al. 2003. Traumatic aortic transection in a child with an anomalous right subclavian artery. Ann Thorac Surg. 76(6):2087-9.

Karmy-Jones R, et al. 2003. Management of traumatic rupture of the thoracic aorta in pediatric patients. Ann Thorac Surg. 75: 1513-7.

Ono T, et al. 2011. Open aortic stent grafting and prosthetic bypass in a child. Ann Thorac Surg. 92(4):1518-20.

Ouriel K. 2003. The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair. J Vasc Surg. 37: 214-8.

Pang D, et al. 2019. Thoracic endovascular repair (TEVAR) versus open surgery for blunt traumatic thoracic aortic injury. Cochrane Database Syst Rev. 2(2):CD006642.

Published

2022-12-30

How to Cite

Wang, K., Xu, W., Wang, C., Hu, J., Tan, S., & Fan, X. (2022). Aortic Repair Through a Left Thoracotomy in a 12-Year-Old Child with Traumatic Aortic Pseudoaneurysm: A Case Report: Aortic Pseudoaneurysm Repair in A Child . The Heart Surgery Forum, 25(6), E860-E862. https://doi.org/10.1532/hsf.5017

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