Abstract
BackgroundAortic pseudoaneurysms are rare but life-threatening complications usually seen after cardiac surgery. The causes could be multifactorial such as infection or trauma.Case presentationWe report the surgical management of a postoperative pseudoaneurysm of the ascending aorta caused by methicillin-resistant Staphylococcus aureus in a 2-year-old Middle Eastern boy who had undergone ventricular septal defect closure, subaortic membrane resection, and pulmonary artery de-banding. He was immediately operated on for resection of the aneurysm. A computed tomography scan at 2 months following surgery showed no aneurysm. Antibiotics were continued for 6 weeks and our patient was discharged with negative blood cultures.ConclusionEarly diagnosis and appropriate treatment of such rare complication can be lifesaving.
Highlights
Aortic pseudoaneurysms are rare but life-threatening complications usually seen after cardiac surgery
Atiyah et al Journal of Medical Case Reports (2018) 12:98 patient had methicillin-resistant Staphylococcus aureus (MRSA) growth confirmed by two blood and wound cultures which showed sensitivity to vancomycin and meropenem
His follow-up echocardiography (Fig. 1) at 3-weeks postoperatively, while still on antibiotics, revealed a large pseudoaneurysm arising from the anterior wall of his ascending aorta (AsAo)
Summary
Aortic pseudoaneurysms are rare but life-threatening complications usually seen after cardiac surgery. Background Aortic pseudoaneurysms are rare, life-threatening sequelae of cardiac surgery [1]. Atiyah et al Journal of Medical Case Reports (2018) 12:98 patient had methicillin-resistant Staphylococcus aureus (MRSA) growth confirmed by two blood and wound cultures which showed sensitivity to vancomycin and meropenem. His follow-up echocardiography (Fig. 1) at 3-weeks postoperatively, while still on antibiotics, revealed a large pseudoaneurysm arising from the anterior wall of his ascending aorta (AsAo).
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