Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-13T14:59:19.248Z Has data issue: false hasContentIssue false

Acquired right ventricular outflow tract aneurysm in pulmonary atresia and intact ventricular septum: a nidus for thromboembolism

Published online by Cambridge University Press:  31 July 2018

Maria Boutsikou*
Affiliation:
Cardiovascular Magnetic Resonance Unit, Royal Brompton and Harefield NHS Trust Foundation, London, UK
Alain Fraisse
Affiliation:
Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust Foundation, London, UK
Darryl Shore
Affiliation:
Department of Cardiothoracic Surgery, Royal Brompton and Harefield NHS Trust Foundation, London, UK
Inga Voges
Affiliation:
Cardiovascular Magnetic Resonance Unit, Royal Brompton and Harefield NHS Trust Foundation, London, UK Department of Paediatric Cardiology, Royal Brompton and Harefield NHS Trust Foundation, London, UK
*
Author for correspondence: M. Boutsikou, MD, PhD, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, London SW36NP, UK. Tel: +44 77294 71998; Fax: 020 7351 8816; E-mail: M.Boutsikou@rbht.nhs.uk

Abstract

Pulmonary atresia with intact ventricular septum may be complicated by coronary aneurysms and myocardial ischaemia. We report a case of an acquired postoperative right ventricular outflow tract aneurysm with communication to the left ventricular outflow tract. Multimodality imaging helped in the characterisation of this structural abnormality, which led to treatment modification of the patient.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Hunter, J. Three cases of mal-conformation in the heart. Medical Observations and Inquiries 1784; 6: 291–294.Google Scholar
2. Nguyen, TP, Srivastava, S, Ko, HH, Lai, WW. Congenital muscular ventricular septal aneurysm: report of four cases and review of the literature. Pediatr Cardiol 2008; 29: 4044.Google Scholar
3. Patel, AR, Farrell, P, Harris, M, Gaynor, JW, Gillespie, MJ. Acquired ventricular septal aneurysm in a patient with pulmonary atresia with intact ventricular septum. Cardiol Young 2012; 22: 227229.Google Scholar
4. Marini, D, Boudjemline, Y, Agnoletti, G. Closure of extracardiac Fontan fenestration by using the covered Cheatham Platinum stent. Catheter Cardiovasc Interv 2007; 69: 10021006.Google Scholar
5. Freedom, RM, Anderson, RH, Perrin, D. The significance of ventriculo-coronary arterial connections in the setting of pulmonary atresia with an intact ventricular septum. Cardiol Young 2005; 15: 447468.Google Scholar