title: Giant congenital aortic aneurysm with cleft sternum in a neonate: pathological and surgical considerations for optimal management.
abstract: 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.
authors.affiliation: Pediatric Cardiovascular Surgery Unit, University of Padova Medical School, Padova, Italy. massimo.padalino@unipd.it
authors.forename: Massimo A
authors.initials: MA
authors.lastname: Padalino
authors.forename: Giovanni
authors.initials: G
authors.lastname: Stellin
authors.forename: Gaetano
authors.initials: G
authors.lastname: Thiene
authors.forename: Maurizio
authors.initials: M
authors.lastname: Rubino
authors.forename: Stefania
authors.initials: S
authors.lastname: Rizzo
authors.forename: Ornella
authors.initials: O
authors.lastname: Milanesi
authors.forename: Cristina
authors.initials: C
authors.lastname: Basso
mesh_terms: 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