Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-17T22:22:18.119Z Has data issue: false hasContentIssue false
  • English
  • Français

Novel percutaneous femoral arterial-transthoracic approach for closure of ascending aortic pseudoaneurysm with a septal occluder device in a child

Published online by Cambridge University Press:  09 September 2013

Samer I. Masri ,
Marianne N. Majdalani  and
Fadi F. Bitar
Samer I. Masri
Affiliation:
Division of Pediatric Cardiology, Children Heart Center, American University of Beirut Medical Center, Beirut, Lebanon
Marianne N. Majdalani
Affiliation:
Department of Pediatrics and Adolescent Medicine, Division of Pediatric Intensive Care, American University of Beirut Medical Center, Beirut, Lebanon
Fadi F. Bitar*
Affiliation:
Division of Pediatric Cardiology, Children Heart Center, American University of Beirut Medical Center, Beirut, Lebanon
*
Correspondence to: F. Bitar, MD, Director, Division of Pediatric Cardiology, Children Heart Center, American University of Beirut, Beirut, Lebanon. Tel: +961-1-749234; Fax: +961-1-361062; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Ascending aortic pseudoaneurysms are a rare complication following cardiac surgery. Their traditional surgical management carries high morbidity and mortality, especially in patients with multiple comorbidities. Transcatheter closure of these pseudoaneurysms using a septal occluder device has been previously reported in adults as an alternative approach with fewer complications. We report the first case of a novel percutaneous femoral arterial-transthoracic approach for exclusion of an ascending aortic pseudoaneurysm with an Amplatzer atrial septal occluder device in a 9-year-old child with Takayasu's arteritis.

Keywords

Ascending aortic pseudoaneurysmseptal occluder devicefemoral arterial-transthoracic approachTakayasu diseasepaediatric interventions.
Type
Brief Reports
Information
Cardiology in the Young , Volume 24 , Issue 4 , August 2014 , pp. 752 - 755
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Kouchoukos, NT, Wareing, TH, Murphy, SF, Perrillo, JB. Sixteen-year experience with aortic root replacement. Results of 172 operations. Ann Surg 1991; 214: 308–318.CrossRefGoogle ScholarPubMed
2. Dossche, KM, Schepens, MA, Morshuis, WJ, de la Rivière, AB, Knaepen, PJ, Vermeulen, FE. A 23-year experience with composite valve graft replacement of the aortic root. Ann Thorac Surg 1999; 67: 1070–1077.CrossRefGoogle ScholarPubMed
3. Dawson, D, Clarke, NR, Banning, AP. Management of the ascending aortic pseudo-aneurysms – a single centre experience. Int J Cardiol 2008; 130: 92–95.CrossRefGoogle ScholarPubMed
4. Bashir, F, Quaife, R, Caroll, JD. Percutaneous closure of ascending aortic pseudoaneurysm using Amplatzer septal occluder device: the first clinical case report and literature review. Catheter Cardiovasc Interv 2005; 65: 547–551.CrossRefGoogle ScholarPubMed
5. Hussain, J, Strumpf, R, Wheatley, G, Diethrich, E. Percutaneous closure of aortic pseudoaneurysm by Amplatzer occluder device-case series of six patients. Catheter Cardiovasc Interv 2009; 73: 521–529.CrossRefGoogle ScholarPubMed
6. Kanani, RS, Neilan, TG, Palacios, IF, Garasic, JM. Novel use of the Amplatzer septal occluder device in the percutaneous closure of ascending aortic pseudoaneurysms: a case series. Catheter Cardiovasc Interv 2007; 69: 146–153.CrossRefGoogle ScholarPubMed
7. Numano, F, Okawara, M, Inomata, H, Kobayashi, Y. Takayasu's arteritis. Lancet 2000; 356: 1023–1025.CrossRefGoogle ScholarPubMed
8. Bolin, E, Moodie, DS, Fraser, CD Jr, Guirola, R, Warren, R, Eldin, KW. Takayasu arteritis presenting as severe ascending aortic arch dilation and aortic regurgitation in a 10-year-old female. Congenit Heart Dis 2011; 6: 630–633.CrossRefGoogle Scholar
9. Mulder, EJ, van Bockel, JH, Maas, J, van den Akker, PJ, Hermans, J. Morbidity and mortality of reconstructive surgery of non infected false aneurysms detected long after aortic prosthetic reconstruction. Arch Surg 1998; 133: 45–49.CrossRefGoogle Scholar
10. Li, Q, Kou, L, Chen, Z. Transcatheter closure of a large abdominal aortic pseudoaneurysm with a septal occluder device. Eur Heart J; 29: 1880.CrossRefGoogle Scholar