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Case Series
Cardiac and great vessels pseudoaneurysms and their challenging options of the management in children
1 Pediatric Cardiology Department, King Fahad Medical City-King Salman Heart Center, Riyadh, Saudi Arabia
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Ghada Shiekheldin M Abdullah
Pediatric Cardiology Department, King Fahad Medical City-King Salman Heart Center, P.O. Box 59046, Riyadh 11525,
Saudi Arabia
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Article ID: 101376Z01GA2023
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Abdullah GSM, Almoukirish A, Tagaldin M, Obaidan MB, Milad ES. Cardiac and great vessels pseudoaneurysms and their challenging options of the management in children. Int J Case Rep Images 2023;14(1):23–27.ABSTRACT
Introduction: Cardiac and great vessel pseudoaneurysms are often difficult to diagnose and might be easily missed. Delay in diagnosis and management may lead to serious event.
Case Series: We are presenting three cases with huge pseudoaneurysms. The clinical approach, diagnostic imaging, and challenging options of management were illustrated. The first case was 12 years old girl presented with clinical features of bacterial endocarditis; echocardiography showed multiple vegetations on mitral valve (MV). She underwent cardiac surgery with removal of vegetation and repair of MV. Three weeks later an echocardiogram revealed a large left ventricle (LV) lateral wall pseudoaneurysm. She underwent aneurysmectomy and repair of LV lateral wall. Second case, a 3 years old girl with history of fever for one month. Echocardiography showed LV pseudoaneurysm and huge pericardial effusion. The pseudoaneurysm entrance was closed percutaneously. The third case was 3-months baby girl diagnosed with aortic coarctation (COA), patent ductus arteriosus (PDA), and muscular ventricular septal defect. She has repair of COA, pulmonary artery band (PAB), and PDA ligation at three weeks of age. Six weeks later developed sepsis. Echocardiography and CT revealed huge pseudoaneurysm at site of COA repair. Surgical resection of the huge pseudoaneurysm was done.
Conclusion: Meticulous evaluation and good utilization of the cardiac diagnostic tools will result in early diagnosis and management of the cardiac and vessel pseudoaneurysms which are usually fatal.
Keywords: Aortic coarctation, Endocarditis, Pseudoaneurysm
SUPPORTING INFORMATION
Acknowledgments
I would like to thank all the doctors and technicians in King Fahd Medical City who helped in achieving these results for these patients.
Author ContributionsGhada Shiekheldin M Abdullah - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Abdulrahman Almoukirish - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mohamed Tagaldin - Conception of the work, Design of the work, Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mashail Bin Obaidan - Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
El-Segaier Milad - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Ghada Shiekheldin M Abdullah et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
