Surgical Repair of an Arch and Descending Aortic Aneurysm in a Child
| Autor: | Toshihiro Kubo, Masashi Takeshita, Tomohiro Mizuno, Kiyotoshi Oishi, Masafumi Yashima, Hidehito Kuroki, Keiji Oi, Hirokuni Arai, Tatsuki Fujiwara |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Thoracic aortic aneurysm 03 medical and health sciences Aortic aneurysm 0302 clinical medicine Aneurysm medicine.artery Ascending aorta medicine Humans Thoracic aorta Thoracotomy Child Aortic Aneurysm Thoracic business.industry medicine.disease Sternotomy Surgery 030228 respiratory system Median sternotomy cardiovascular system Female Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | The Annals of Thoracic Surgery. 108:e315-e317 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2019.02.048 |
| Popis: | Pediatric thoracic aortic aneurysms are very rare, and almost all patients with such aneurysms have inflammatory or connective tissue diseases. This report describes a case involving 10-year-old girl who had an aortic arch and descending thoracic aortic aneurysm. Preoperative fluorine-18-fluorodeoxyglucose positron emission tomography combined with computed tomography showed an inflammatory lesion corresponding to the aneurysm's location. The ascending aorta, aortic arch, and descending thoracic aorta were replaced through median sternotomy and left thoracotomy with safe systemic and brain perfusion to avoid placing the anastomoses within the inflammatory lesion. The patient was discharged without complications, and an SMAD3 mutation was detected by postoperative mutational screening. |
| Databáze: | OpenAIRE |
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