Cardiovascular Pathology
Volume 19, Issue 3 , Pages 183-186, May 2010

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

  • Massimo A. Padalino

      Affiliations

    • Pediatric Cardiovascular Surgery Unit, University of Padova Medical School, Padova, Italy
    • Corresponding Author InformationCorresponding author. UOC Cardiochirurgia Pediatrica e Cardiopatie Congenite, Centro V Gallucci, Via Giustiniani 2, 35128 Padova, Italy. Tel.: +39 049 8212427.
    web address
    • ,
  • Giovanni Stellin

      Affiliations

    • Pediatric Cardiovascular Surgery Unit, University of Padova Medical School, Padova, Italy
    • ,
  • Gaetano Thiene

      Affiliations

    • Department of Medico-Diagnostic Sciences and Special Therapies, University of Padova Medical School, Padova, Italy
    • ,
  • Maurizio Rubino

      Affiliations

    • Pediatric Cardiovascular Surgery Unit, University of Padova Medical School, Padova, Italy
    • ,
  • Stefania Rizzo

      Affiliations

    • Department of Medico-Diagnostic Sciences and Special Therapies, University of Padova Medical School, Padova, Italy
    • ,
  • Ornella Milanesi

      Affiliations

    • Pediatric Cardiology, University of Padova Medical School, Padova, Italy
    • ,
  • Cristina Basso

      Affiliations

    • Department of Medico-Diagnostic Sciences and Special Therapies, University of Padova Medical School, Padova, Italy

Received 1 November 2007; received in revised form 1 October 2008; accepted 3 December 2008. published online 13 February 2009.

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.

Keywords: Aortic aneurysm, Neonate, Surgery, Histology, Syndromic pattern, Marfan

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1054-8807(08)00184-1

doi:10.1016/j.carpath.2008.12.003

Cardiovascular Pathology
Volume 19, Issue 3 , Pages 183-186, May 2010

Article Tools

* Image Usage & Resolution