PSEUDOANEURYSM OF THE ASCENDING AORTA IN A PEDIATRIC PATIENT

Özge Köner, *Gürkan Çetin, *Ahmet Özkara, **Levent Saltık

İstanbul Üniversitesi Kardiyoloji Enstitüsü, Anestezi ve Reanimasyon Ana Bilim Dalı, İstanbul
*İstanbul Üniversitesi Kardiyoloji Enstitüsü, Kalp Damar Cerrahisi Ana Bilim Dalı, İstanbul
**İstanbul Üniversitesi Cerrahpaþa Tıp Fakültesi, Pediyatrik Kardiyoloji Ana Bilim Dalı, İstanbul

A 9-month-old infant admitted to our hospital with symptoms of dispnea and a mass defined as pericardial cyst two months after the ventricular septal defect repair. Chest film showed a widened upper mediastinum. Computerized tomography scans revealed a large mass with heteregenous density between the sternum and heart that compressed the right atrium. Two dimentional transthoracic echocardiography showed a 4x 4.5 cm sized mass with hematoma inside. Intraoperative transeosophageal echocardiography revealed an abnormal continuous blood flow directed from the ascending aorta to the mass. At the operation a false aneurysm originating from the former cardioplegic cannulation site was observed. The fistula was sewn with 6/0 prolene sutures. The patient recovered uneventfully.

Keywords : Ascending aorta, pseudoaneursym, cardiac surgery

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