Combination of traumatic thoracic aortic pseudoaneurysm and myocardial contusion leading to left ventricular aneurysm.
The combination of thoracic aortic pseudoaneurysm and left ventricular aneurysm resulting from a single traumatic incident is an exceedingly rare occurrence. We present a case of a 10-year-old girl who sustained significant blunt trauma to the chest after being involved in a rollover motor vehicle accident. The child underwent immediate repair of a transected aortic arch. An inferior wall left ventricular aneurysm developed 3 weeks later, and the patient underwent successful repair of the left ventricular aneurysm and a damaged mitral valve. The use of fast multidetector row CT, cardiac MRI, and echocardiography have improved our ability to diagnose these types of injuries and accurately image their anatomic relationships in the acute and perioperative settings.
Stephenson
Jonathan D
JD
Department of Radiology, H066, The Milton S. Hershey Medical Center, Pennsylvania State University, 500 University Drive, Hershey, PA 17033, USA. jstephenson@psu.edu
Hulse
Michael A
MA
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000175:diagnosis* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000601:surgery*; D002648:Child; D004452:Echocardiography; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000601:surgery*; D006335:Heart Injuries / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed