Proximal sano anastomosis aneurysm due to degeneration of bovine pericardial patch.
We report a 5-year-old girl with hypoplastic left heart syndrome who originally underwent a Norwood procedure with a Sano shunt. Subsequent procedures included a bidirectional Glenn and extracardiac Fontan with a Gore-Tex graft (W.L Gore and Associates, Flagstaff, AZ). The patient was found to have a heart murmur on a follow-up visit 3 years later. Echocardiography and computed tomography imaging showed an aneurysm of the proximal Sano anastomosis. The patient underwent successful surgical repair.
Division of Pediatric Cardiovascular Surgery, The Heart Institute for Children, Advocate Hope Children's Hospital, Oak Lawn, Illinois 60453, USA. chawki@thic.com
Chawki
C
ElZein
Sujata
S
Subramanian
David
D
Roberson
Tarek
T
Husayni
Anastasios
A
Polimenakos
Michel
M
Ilbawi
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D000818:Animals; D001705:Bioprosthesis; D002417:Cattle; D002675:Child, Preschool; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects / Q000379:methods; D006322:Heart Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D021621:Imaging, Three-Dimensional; D008991:Monitoring, Physiologic / Q000379:methods; D058327:Norwood Procedures / Q000009:adverse effects / Q000379:methods; D010496:Pericardium / Q000601:surgery*; D011138:Polytetrafluoroethylene; D011475:Prosthesis Failure; D011651:Pulmonary Artery / Q000601:surgery; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013524:Surgical Flaps / Q000009:adverse effects; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods
D011138:Polytetrafluoroethylene