Giant congenital aortic aneurysm with cleft sternum in a neonate: pathological and surgical considerations for optimal management

Massimo A Padalino; Giovanni Stellin; Gaetano Thiene; Maurizio Rubino; Stefania Rizzo; Ornella Milanesi; Cristina Basso

doi:10.1016/j.carpath.2008.12.003

Giant congenital aortic aneurysm with cleft sternum in a neonate: pathological and surgical considerations for optimal management

Cardiovasc Pathol. 2010 May-Jun;19(3):183-6. doi: 10.1016/j.carpath.2008.12.003. Epub 2009 Feb 12.

Authors

Massimo A Padalino¹, Giovanni Stellin, Gaetano Thiene, Maurizio Rubino, Stefania Rizzo, Ornella Milanesi, Cristina Basso

Affiliation

¹ Pediatric Cardiovascular Surgery Unit, University of Padova Medical School, Padova, Italy. massimo.padalino@unipd.it

PMID: 19216095
DOI: 10.1016/j.carpath.2008.12.003

Abstract

We report a rare case of a neonate with congenital giant aortic aneurysm associated to cleft sternum, who underwent surgical repair. The patient died on postoperative Day 5 from cardiac arrest. Autopsy revealed a circumferential subendocardial myocardial infarction and misdiagnosed coronary ostial anomalies. A critical analysis of this unfortunate case may help optimal surgical planning in similar patients in the future.

Publication types

Case Reports

MeSH terms

Abnormalities, Multiple / pathology*
Abnormalities, Multiple / surgery
Aortic Aneurysm / congenital*
Aortic Aneurysm / pathology
Aortic Aneurysm / surgery
Coronary Angiography
Echocardiography, Doppler
Fatal Outcome
Female
Heart Defects, Congenital / pathology*
Heart Defects, Congenital / surgery
Humans
Infant, Newborn
Sternum / abnormalities*
Sternum / surgery