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Case Reports
. 2022 May-Jun;15(3):294-296.
doi: 10.4103/apc.apc_65_21. Epub 2022 Nov 16.

A large basal left ventricular pseudoaneurysm following pediatric cardiac surgery

Giuseppe Scrascia  1 , Raffaella Lamparelli  2 , Alberto Gaeta  3 , Dario Troise  1 , Giandomenico Stellacci  3 , Ugo Vairo  2 , Gabriele Scalzo  1
Affiliations
Case Reports

A large basal left ventricular pseudoaneurysm following pediatric cardiac surgery

Giuseppe Scrascia et al. Ann Pediatr Cardiol. 2022 May-Jun.

Abstract

Left ventricular pseudoaneurysm (LV-PSA) is a rare complication in children, usually developing after cardiac surgery, percutaneous procedures, infections, or trauma. Herein, we report a case of large basal submitral LV-PSA in a 36-day-old baby, detected 26 days after cardiac operation for hypoplastic arch, aortic coarctation, and small ventricular septal defect. No complications occurred in the first postoperative course, and early postoperative echocardiograms were normal. Despite large dimension of pseudoaneurysm, the baby presented with only mild tachypnea. The baby was successfully operated. Pseudoaneurysm, besides rare, could have an extremely broad and insidious clinical presentation and had to be considered in post-cardiac surgery follow-up echocardiogram at any time lapse.

Keywords: Complications; computerized tomography; congenital heart disease; echocardiography.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Transthoracic echocardiography showing the large pseudoaneurysm and communication with left ventricle
Figure 2
Figure 2
Computed tomography scan showing anatomical relationships between left atrium, left ventricle, pseudoaneurysm, communication (*), and superimposable echocardiographic section
See this image and copyright information in PMC

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