title: Mycotic pseudoaneurysm associated with aortic coarctation.
abstract: Development of a mycotic aneurysm or pseudoaneurysm after subacute bacterial endarteritis is uncommon. Nonetheless, patients with coarctation of the aorta are more likely to develop this complication. We describe a case of a large pseudoaneurysm discovered in a child with a previously undiagnosed aorta coarctation. Successful repair was performed with the aid of partial left heart bypass and the use of an interposition graft. A high index of suspicion is necessary to accurately diagnose this rare but life-threatening entity.
authors.affiliation: Division of Pediatric Cardiovascular Surgery, The University of Michigan, Congenital Heart Center, Ann Arbor, USA.
authors.forename: R S
authors.initials: RS
authors.lastname: Mosca
authors.forename: T J
authors.initials: TJ
authors.lastname: Kulik
authors.forename: K
authors.initials: K
authors.lastname: Marshall
authors.forename: R
authors.initials: R
authors.lastname: Hernandez
authors.forename: S E
authors.initials: SE
authors.lastname: Fletcher
mesh_terms: D017541:Aneurysm, False / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000785:Aneurysm, Infected / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D002675:Child, Preschool; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male