[Giant aortic arch aneurysm following ligation of patent ductus arteriosus in an adult patient with Down syndrome; report of a case].
A 45-year-old male with Down syndrome( DS) had abnormal findings pointed out by chest X-ray and admitted to our hospital. He had undergone ligation of the patent ductus arteriosus 33 years before. Computed tomography showed a giant aortic aneurysm at the aortopulmonary window. Aortic arch replacement was performed under cardiopulmonary bypass and circulatory arrest. The postoperative course was uneventful. Postoperative ductal aneurysm in an adult is relatively rare and needs early operation because of the high risk of rupture. In this case, considering the size of the aneurysm, the timing of diagnosis seemed to be late. As the life expectancy of patients with DS has been lengthning recently, their regular health examinations is mandatory to improve the life expectancy and quality of life.
Department of Crdiovascular Surgery, Japanese Red Cross Society Kochi Hospital, Kochi, Japan.
Kazutoshi
K
Tano
Yoichi
Y
Ichikawa
D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004314:Down Syndrome / Q000150:complications*; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed