Endovascular Repair of Traumatic Aortic Pseudoaneurysm and Delayed Presentation of Pericardial Rupture with Cardiac Herniation in Pediatric Trauma

Daniel Hetherman, Kimberly Malka, Andres Schanzer, E. Christine Wallace, David Kane, Roger Breitbart, Puja Banka, Francis Fynn-Thompson and Michael Hirsh

Department of Surgery, University of Massachusetts Medical School, USA
Division of Vascular Surgery, University of Massachusetts Medical School, USA
Department of Radiology, University of Massachusetts Medical School, USA
Division of Pediatric Cardiology, University of Massachusetts Medical School, USA
Division of Pediatric Cardiology, Boston Children’s Hospital, USA
Division of Cardiac Surgery, Boston Children’s Hospital, Boston, USA
Division of Pediatric Surgery, University of Massachusetts Medical School, USA

^*Correspondance to: Michael Hirsh 

 PDF  Full Text DOI: 10.25107/2474-1647.1673

Abstract

We present the case of a 14-year-old healthy boy who presented after being a restrained back seat passenger in a single motor vehicle accident. He was found to have a thoracic aortic pseudoaneurysm which was managed with placement of an endovascular stent graft. Initially he recovered, then experienced a syncopal episode, and on repeat imaging was found to have a pericardial rupture with cardiac herniation. He underwent open repair of his pericardium and recovered uneventfully. Thoracic aortic pseudoaneurysm and pericardial rupture with cardiac herniation, represent rare potentially life threatening intrathoracic injuries that must be considered and appropriately treated when evaluating pediatric thoracic trauma.

Keywords

Pediatric trauma; Cardiac herniation; Endovascular repair

Cite the article

Hetherman D, Malka K, Schanzer A, Wallace EC, Kane D, Breitbart R, et al. Endovascular Repair of Traumatic Aortic Pseudoaneurysm and Delayed Presentation of Pericardial Rupture with Cardiac Herniation in Pediatric Trauma. Clin Surg. 2017; 2: 1673.