[Videoscopic resection of a thrombosed aneurysm of a patent ductus arteriosus in a neonate].
Aneurysmal dilatation of a patent ductus arteriosus is a rare condition. One hundred and fifty three cases have been reported, of which 59 (39%) were operated, with an operative mortality of 16%. The authors report a case detected in a premature neonate on chest X-ray showing a mass in the mid-mediastinal region. Surgical resection was undertaken by video-thoracoscopy. Peroperative analysis of the resected specimen suggested a vascular structure and this was confirmed by histological study, which showed spontaneous aneurysm of a thrombosed patent ductus arteriosus or cystic residue of a patent ductus arteriousus. The authors underline the importance of peroperative puncture of structures of uncertain origin and the possibility of conversion of such a procedure to that of an extreme emergency.
Neville
P
P
Unités de chirurgie cardiaque, hôpital Trousseau, CHRU de Tours.
Szwarc
C
C
Ayadi
E
E
Lardy
H
H
Jimenez
A C
AC
Vaillant
M C
MC
Nakajima
H
H
Sirinelli
D
D
Chantepie
A
A
Robert
M
M
D000783:Aneurysm / Q000473:pathology / Q000601:surgery*; D004374:Ductus Arteriosus, Patent / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D013906:Thoracoscopy / Q000379:methods*; D013927:Thrombosis / Q000473:pathology / Q000601:surgery*; D014741:Video Recording