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Giant ductal pseudoaneurysm in infancy: a lesson learnt the hard way

Year: 2017
Type: article
Study design: Case Report
Abstract: A 7-month-old girl, ex-preterm (26-weeker), 4.5 kg, with 4 mm patent ductus arteriosus (PDA) underwent PDA device closure (Amplatzer duct occluder - ADO II 4×6 mm) elsewhere and was readmitted 4 days later with pericardial effusion. Needle pericardiocentesis drained 50 mL of haemorrhagic fluid. Septic screen was negative. Severe dyspnoea ensued 2 weeks later. Chest X-ray excluded lung pathology. Bedside echocardiogram showed PDA device in situ (online supplementary video 1), no residual ductus, vegetation or pericardial recollection, unobstructed flow in the pulmonary artery and descending aorta, normal pulmonary arterial pressures, and normal biventricular function. Curiously, a giant anechoic mass (22×25 mm) (online supplementary video 2) was visualised posteroinferior to the device with its neck communicating with lesser curvature of the thoracic aorta …
Institution: Manipal Hospital
Language: English
Field: Medicine
Open Access status: bronze
OpenAlex ID: W2777034028
FWCI:
Cites: 5
Cited by: 2
Related to: 10