RESUMO
Aortic pseudoaneurysm is a rare but life-threatening complication after transcatheter closure of patent ductus arteriosus (PDA) with only a few reported cases in literature. We report a case of an 18-month-old child who was diagnosed to have pseudoaneurysm of the aorta after 6 months of transcatheter closure of PDA. It was diagnosed on routine follow-up on echocardiography evaluation. Computed tomography chest is the imaging modality of choice for evaluation of these patients which showed large saccular aneurysm arising from distal aortic arch beyond origin of left subclavian artery. Any aneurysm more than 30 mm should be treated irrespective of symptoms. Treatment modalities are surgical resection of the aneurysm (as in our patient) or thoracic endovascular aortic repair. In our case, surgical resection of aneurysm was performed. Supplementary Information: The online version contains supplementary material available at 10.1007/s12055-023-01619-z.
RESUMO
Isolated interrupted aortic arch, a congenital malformation, is very rarely reported in adults. Most adult patients have presented with type A interruption (interruption just beyond the left subclavian artery) and without an associated ventricular septal defect. Conventional surgical repair is typically a challenge because of the extent of collateral circulation in patients who have survived to adulthood. We describe the successful, single-staged, extra-anatomic ventral aortic repair of type A interrupted aortic arch in an 18-year-old man, and we discuss the pathogenesis of the so-called adult form of the condition.
Assuntos
Aorta Torácica/anormalidades , Malformações Vasculares/diagnóstico , Adolescente , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/fisiopatologia , Aorta Torácica/cirurgia , Aortografia/métodos , Implante de Prótese Vascular , Circulação Colateral , Humanos , Masculino , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Malformações Vasculares/fisiopatologia , Malformações Vasculares/cirurgiaRESUMO
Myxomas are the most common benign tumors of the heart. They can arise from any heart chamber, but have rarely been described as originating from the left atrial appendage. We describe a case of left atrial appendage myxoma mimicking a left atrial appendage thrombus, and presenting with microembolization to the coronaries.
Assuntos
Apêndice Atrial/patologia , Vasos Coronários/patologia , Neoplasias Cardíacas/patologia , Mixoma/patologia , Células Neoplásicas Circulantes/patologia , Trombose/diagnóstico , Angina Instável/etiologia , Apêndice Atrial/cirurgia , Biópsia , Procedimentos Cirúrgicos Cardíacos , Ponte Cardiopulmonar , Diagnóstico Diferencial , Ecocardiografia Transesofagiana , Neoplasias Cardíacas/complicações , Neoplasias Cardíacas/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Mixoma/complicações , Mixoma/cirurgia , Valor Preditivo dos Testes , Esternotomia , Resultado do TratamentoRESUMO
Single diverticulum of the right atrium is an exceedingly rare congenital malformation. We describe successful surgical resection in a 22-year-old asymptomatic woman with single right atrial diverticulum. An attempt is also made to throw light on the etiology and management of this disease entity.
