Giant congenital aortic aneurysm with cleft sternum in a neonate: pathological and surgical considerations for optimal management.
We report a rare case of a neonate with congenital giant aortic aneurysm associated to cleft sternum, who underwent surgical repair. The patient died on postoperative Day 5 from cardiac arrest. Autopsy revealed a circumferential subendocardial myocardial infarction and misdiagnosed coronary ostial anomalies. A critical analysis of this unfortunate case may help optimal surgical planning in similar patients in the future.
Padalino
Massimo A
MA
Pediatric Cardiovascular Surgery Unit, University of Padova Medical School, Padova, Italy. massimo.padalino@unipd.it
Stellin
Giovanni
G
Thiene
Gaetano
G
Rubino
Maurizio
M
Rizzo
Stefania
S
Milanesi
Ornella
O
Basso
Cristina
C
D000015:Abnormalities, Multiple / Q000473:pathology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D017023:Coronary Angiography; D015150:Echocardiography, Doppler; D017809:Fatal Outcome; D005260:Female; D006330:Heart Defects, Congenital / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D013249:Sternum / Q000002:abnormalities* / Q000601:surgery