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Subarachnoid haemorrhage from undiagnosed mycotic aortic aneurysm in a child

Part of: Infectious

Published online by Cambridge University Press:  04 December 2017

Takeshi Shinkawa ,
Raghu H. Ramakrishnaiah  and
Brian K. Eble
Takeshi Shinkawa*
Affiliation:
Division of Pediatric and Congenital Cardiothoracic Surgery, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
Raghu H. Ramakrishnaiah
Affiliation:
Division of Pediatric Radiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
Brian K. Eble
Affiliation:
Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
*
Correspondence to: T. Shinkawa, MD, Pediatric Cardiothoracic Surgery, Arkansas Children’s Hospital, 1 Children’s Way, Slot 677, Little Rock, AR 72202, United States of America. Tel: +1 501 364 5858; Fax: +1 501 364 5869; E-mail: TShinkawa@uams.edu
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Abstract

We report a case of subarachnoid haemorrhage resulting from a mycotic aortic aneurysm in a child with CHD. The patient previously underwent operations for CHD and had a subarachnoid haemorrhage of unknown cause before the scheduled re-operation. During the re-operation, a sealed rupture of an undiagnosed mycotic ascending aortic aneurysm was identified, and the causative organism was later identified as Streptococcus. A postoperative MRI indicated a partially thrombosed cerebral aneurysm. This case demonstrates that a mycotic aortic aneurysm can be a cause of intracranial haemorrhage in children.

Keywords

Aortic aneurysmchildCHDintracranial haemorrhages
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 3 , March 2018 , pp. 461 - 463
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Copyright
© Cambridge University Press 2017 

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