Successful coil embolization for pediatric internal mammary artery aneurysm after the Fontan procedure: A case report and literature review.
Successful coil embolization for pediatric internal mammary artery aneurysm after the Fontan procedure: A case report and literature review.
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Fontan 手术后小儿乳内动脉瘤成功弹簧圈栓塞：病例报告和文献综述。
DOI：
10.1016/j.jccase.2022.05.016
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发表时间：
2022
影响因子：
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通讯作者：
[Yoshihiro Takahashi,Kentaro Ueno,Naohiro Shiokawa,Koji Nakae,Junpei Kawamura,Yasuko Morita,Daisuke Hazeki,Yasuhiro Okamoto]
中科院分区：
文献类型：
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作者：
Nakagawa Natsuki;Hashii Yoshiko;Kayama Hisako;Okumura Ryu;Nakajima Hiroko;Minagawa Hikaru;Morimoto Soyoko;Fujiki Fumihiro;Nakata Jun;Shirakawa Toshiro;Katayama Takane;Takeda Kiyoshi;Tsuboi Akihiro;Ozono Keiichi;橋井佳子;[Yoshihiro Takahashi,Kentaro Ueno,Naohiro Shiokawa,Koji Nakae,Junpei Kawamura,Yasuko Morita,Daisuke Hazeki,Yasuhiro Okamoto]
我们在此描述了第一例由正中胸骨切开术引起的乳内动脉（IMA）动脉瘤的儿科病例。他是一名2岁的三尖瓣闭锁患儿，接受了心外管道Fontan手术。在术后第36天，通过对比计算机断层扫描检测到无症状的左侧IMA动脉瘤，并通过弹簧圈栓塞成功治疗。患者无基础疾病，如血管炎、结缔组织病或其他遗传性疾病，在IMA动脉瘤发作前后无感染或高血压发作。由于左侧IMA从内侧走向外周，在正中胸骨切开术中处于脆弱位置，我们认为IMA动脉瘤是由正中胸骨切开术引起的。我们儿科心脏病专家应该意识到，IMA动脉瘤可能发生在儿科心脏手术，我们应该积极主动地进行术后影像学研究的情况下，术前胸廓内动脉运行内侧向peripheral.Learning objectiveInternal乳动脉（IMA）动脉瘤是一种罕见的血管疾病，尤其是在儿童。据报道，三分之一的成人IMA动脉瘤是由胸骨切开术引起的，但在儿童中并非如此。我们报告了第一例由胸骨切开术引起的IMA动脉瘤的儿科病例。我们应该认识到，在小儿心脏手术中也存在IMA动脉瘤的潜在风险。
We herein describe the first pediatric case of an internal mammary artery (IMA) aneurysm caused by a median sternotomy. He was a 2-year-old with tricuspid atresia who underwent an extracardiac conduit Fontan procedure. On the 36th postoperative day, an asymptomatic left IMA aneurysm was detected via contrast computed tomography, which was successfully treated with coil embolization. The patient had no underlying disease such as vasculitis, connective tissue disease, or other hereditary diseases, and there were no episodes of infection or hypertension before or after the onset of the IMA aneurysm. Because the left IMA ran medially to the periphery and was in a vulnerable position during median sternotomy, we considered the IMA aneurysm was caused by the median sternotomy. We pediatric cardiologists should be aware that IMA aneurysms can occur in pediatric cardiac surgery, and we should be proactive in performing postoperative imaging studies in cases where the preoperative internal thoracic artery runs medially toward the periphery.Learning objectiveInternal mammary artery (IMA) aneurysm is a rare vascular disease, especially in children. One-third of adult IMA aneurysms have been reported to be caused by sternotomy, but not in children. We report the first pediatric case of an IMA aneurysm caused by sternotomy. We should recognize that there is a potential risk of IMA aneurysms in pediatric cardiac surgery as well.