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Antenatal occlusion of a ductal arteriosus aneurysm: a potential postnatal surgical emergency. Case report and literature review

Published online by Cambridge University Press:  03 September 2020

Safwat A. Aly
Affiliation:
The Labatt Family Heart Centre, Department of Pediatric, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Juan Contreras
Affiliation:
Division of Cardiovascular surgery, The Labatt Family Heart Centre, The Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Osami Honjo
Affiliation:
Division of Cardiovascular surgery, The Labatt Family Heart Centre, The Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Olivier Villemain*
Affiliation:
The Labatt Family Heart Centre, Department of Pediatric, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
*
Author for correspondence: Dr. Olivier Villemain, Division of Cardiology, The Hospital for Sick Children, 555 University Avenue, Toronto, OntarioM5G 1X8. Tel: +1-416-813-7654; Fax: +1-416-813-5857. E-mail: olivier.villemain@sickkids.ca

Abstract

Symptomatic presentation of ductal arteriosus aneurysm is usually a consequence of associated complications, including thromboembolism, infection, and compression of adjacent structures. In this case report, we present a thrombosed ductal aneurysm that developed antenatally with further postnatal progression of the thrombus and complete occlusion of the left pulmonary artery. Urgent surgical thrombectomy was successful and the post-operative course was uneventful.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Hornberger, LK. Congenital ductus arteriosus aneurysm. J Am Coll Cardiol. 2002; 39: 348350.10.1016/S0735-1097(01)01734-XCrossRefGoogle ScholarPubMed
Jan, SL, Hwang, B, Fu, YC, Chai, JW, Chi, CS. Isolated neonatal ductus arteriosus aneurysm. J Am Coll Cardiol. 2002; 39: 342347.10.1016/S0735-1097(01)01736-3CrossRefGoogle ScholarPubMed
Dyamenahalli, U, Smallhorn, JF, Geva, T, Fouron, JC, Cairns, P, Jutras, L, Hughes, V, Rabinovitch, M, Mason, CA, Hornberger, LK. Isolated ductus arteriosus aneurysm in the fetus and infant: a multi-institutional experience. J Am Coll Cardiol. 2000; 36: 262269.CrossRefGoogle ScholarPubMed
Masood, SA, Bokowski, JW, Kazmouz, S, Amin, Z. Ductus arteriosus aneurysm with organized thrombus in a neonate: echocardiograms from diagnosis to resolution. Tex Heart Inst J. 2015; 42: 298299.10.14503/THIJ-14-4128CrossRefGoogle Scholar
McArdle, DJ, Paterson, FL, Morris, LL. Ductus arteriosus aneurysm thrombosis with mass effect causing pulmonary hypertension in the first week of life. J Pediatr. 2017; 180: 289289.e1.10.1016/j.jpeds.2016.09.004CrossRefGoogle Scholar
Lund, JT, Jensen, MB, Hjelms, E. Aneurysm of the ductus arteriosus. A review of the literature and the surgical implications. Eur J Cardiothorac Surg. 1991; 5: 566-570.10.1016/1010-7940(91)90220-ECrossRefGoogle ScholarPubMed
Koneti, NR, Kanchi, V, Kandraju, H, Jaishankar, S. Symptomatic aneurysm of ductus arteriosus in neonates. Ann Pediatr Cardiol. 2011; 4: 159163.10.4103/0974-2069.84659CrossRefGoogle ScholarPubMed
Sheridan, RM, Michelfelder, EC, et al. Ductus arteriosus aneurysm with massive thrombosis of pulmonary artery and fetal hydrops. Pediatr Dev Pathol. 2012; 15: 7985.10.2350/11-02-0991-CR.1CrossRefGoogle ScholarPubMed
Xu, E, Delpey, JG, Finel, E, Pennaneach, A. Ductus arteriosus aneurysm: case report and review of the literature. Arch Pediatr. 2018; 25: 283285.10.1016/j.arcped.2018.03.005CrossRefGoogle ScholarPubMed
Fripp, RR, Whitman, V, Waldhausen, JA, Boal, DK. Ductus arteriosus aneurysm presenting as pulmonary artery obstruction: diagnosis and management. J Am Coll Cardiol. 1985; 6: 234236.10.1016/S0735-1097(85)80281-3CrossRefGoogle ScholarPubMed

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