Postsurgical Pseudoaneurysm of the Right Ventricular Outflow Tract

Cardiac pseudoaneurysm, a sealed rupture of the heart, is potentially fatal if not repaired surgically. The incidence in children is low, and it has been described in connection with surgery involving the right ventricular outflow tract. We describe a case diagnosed 20 months after complete repair o...

Full description

Saved in:
Bibliographic Details
Published in:Revista española de cardiología (English ed.) 2005-03, Vol.58 (3), p.313-315
Main Authors: Moruno Tirado, Antonio, Santos de Soto, José, Gavilán Camacho, José L., Álvarez Madrid, Antonio, Gil Fournier, Mauro, Descalzo Señorans, Alfonso
Format: Article
Language:English
Subjects:
Corrección quirúrgica
Pseudoaneurysm
Seudoaneurisma
Surgical repair
Tetralogy of Fallot
Tetralogía de Fallot
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Cardiac pseudoaneurysm, a sealed rupture of the heart, is potentially fatal if not repaired surgically. The incidence in children is low, and it has been described in connection with surgery involving the right ventricular outflow tract. We describe a case diagnosed 20 months after complete repair of Tetralogy of Fallot with a single coronary artery. The diagnosis was made with two-dimensional echocardiography and confirmed with right ventriculography. The pseudoaneurysm was corrected by emergency surgery without complications. We emphasize the importance of a high index of suspicion of this entity in these patients, who are often asymptomatic. El seudoaneurisma cardíaco es una rotura cardíaca contenida, potencialmente letal si no se corrige. Su incidencia en niños es muy rara y ha sido descrita en relación con la cirugía del tracto de salida ventricular derecho. Presentamos un caso diagnosticado 20 meses después de la reparación completa de una tetralogía de Fallot con arteria coronaria única. Los hallazgos ecocardiográficos fueron confirmados en la ventriculografía derecha y el seudoaneurisma corregido urgentemente sin complicaciones. Queremos resaltar la trascendencia del diagnóstico de sospecha en enfermos con frecuencia asintomáticos.
ISSN:1885-5857
1885-5857
DOI:10.1016/S1885-5857(06)60496-9