Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-24T02:34:05.490Z Has data issue: false hasContentIssue false
  • English
  • Français

Antenatal occlusion of a ductal arteriosus aneurysm: a potential postnatal surgical emergency. Case report and literature review

Published online by Cambridge University Press:  03 September 2020

Safwat A. Aly ,
Juan Contreras ,
Osami Honjo  and
Olivier Villemain Open the ORCID record for Olivier Villemain [Opens in a new window]
Safwat A. Aly
Affiliation:
The Labatt Family Heart Centre, Department of Pediatric, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Juan Contreras
Affiliation:
Division of Cardiovascular surgery, The Labatt Family Heart Centre, The Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Osami Honjo
Affiliation:
Division of Cardiovascular surgery, The Labatt Family Heart Centre, The Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Olivier Villemain*
Affiliation:
The Labatt Family Heart Centre, Department of Pediatric, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
*
Author for correspondence: Dr. Olivier Villemain, Division of Cardiology, The Hospital for Sick Children, 555 University Avenue, Toronto, OntarioM5G 1X8. Tel: +1-416-813-7654; Fax: +1-416-813-5857. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Symptomatic presentation of ductal arteriosus aneurysm is usually a consequence of associated complications, including thromboembolism, infection, and compression of adjacent structures. In this case report, we present a thrombosed ductal aneurysm that developed antenatally with further postnatal progression of the thrombus and complete occlusion of the left pulmonary artery. Urgent surgical thrombectomy was successful and the post-operative course was uneventful.

Keywords

Ductus arteriosus aneurysmthrombosisperinatal management
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 11 , November 2020 , pp. 1750 - 1752
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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

Hornberger, LK. Congenital ductus arteriosus aneurysm. J Am Coll Cardiol. 2002; 39: 348–350.10.1016/S0735-1097(01)01734-XCrossRefGoogle ScholarPubMed
Jan, SL, Hwang, B, Fu, YC, Chai, JW, Chi, CS. Isolated neonatal ductus arteriosus aneurysm. J Am Coll Cardiol. 2002; 39: 342–347.10.1016/S0735-1097(01)01736-3CrossRefGoogle ScholarPubMed
Dyamenahalli, U, Smallhorn, JF, Geva, T, Fouron, JC, Cairns, P, Jutras, L, Hughes, V, Rabinovitch, M, Mason, CA, Hornberger, LK. Isolated ductus arteriosus aneurysm in the fetus and infant: a multi-institutional experience. J Am Coll Cardiol. 2000; 36: 262–269.CrossRefGoogle ScholarPubMed
Masood, SA, Bokowski, JW, Kazmouz, S, Amin, Z. Ductus arteriosus aneurysm with organized thrombus in a neonate: echocardiograms from diagnosis to resolution. Tex Heart Inst J. 2015; 42: 298–299.10.14503/THIJ-14-4128CrossRefGoogle Scholar
McArdle, DJ, Paterson, FL, Morris, LL. Ductus arteriosus aneurysm thrombosis with mass effect causing pulmonary hypertension in the first week of life. J Pediatr. 2017; 180: 289–289.e1.10.1016/j.jpeds.2016.09.004CrossRefGoogle Scholar
Lund, JT, Jensen, MB, Hjelms, E. Aneurysm of the ductus arteriosus. A review of the literature and the surgical implications. Eur J Cardiothorac Surg. 1991; 5: 566-570.10.1016/1010-7940(91)90220-ECrossRefGoogle ScholarPubMed
Koneti, NR, Kanchi, V, Kandraju, H, Jaishankar, S. Symptomatic aneurysm of ductus arteriosus in neonates. Ann Pediatr Cardiol. 2011; 4: 159–163.10.4103/0974-2069.84659CrossRefGoogle ScholarPubMed
Sheridan, RM, Michelfelder, EC, et al. Ductus arteriosus aneurysm with massive thrombosis of pulmonary artery and fetal hydrops. Pediatr Dev Pathol. 2012; 15: 79–85.10.2350/11-02-0991-CR.1CrossRefGoogle ScholarPubMed
Xu, E, Delpey, JG, Finel, E, Pennaneach, A. Ductus arteriosus aneurysm: case report and review of the literature. Arch Pediatr. 2018; 25: 283–285.10.1016/j.arcped.2018.03.005CrossRefGoogle ScholarPubMed
Fripp, RR, Whitman, V, Waldhausen, JA, Boal, DK. Ductus arteriosus aneurysm presenting as pulmonary artery obstruction: diagnosis and management. J Am Coll Cardiol. 1985; 6: 234–236.10.1016/S0735-1097(85)80281-3CrossRefGoogle ScholarPubMed

Aly et al. supplementary material

Aly et al. supplementary material 1

Download Aly et al. supplementary material(Video)
Video 468.2 KB

Aly et al. supplementary material

Aly et al. supplementary material 2

Download Aly et al. supplementary material(Video)
Video 2.1 MB

Aly et al. supplementary material

Aly et al. supplementary material 3

Download Aly et al. supplementary material(Video)
Video 26.7 MB