Repair of ascending aortic aneurysm after heart-lung transplantation - A paediatric case report.
Pramoda Hari, Naresh Kumar
✦ AI-curated · Sources linked
Case in brief
A 13-year-old girl presented with a large unruptured ascending aortic aneurysm eight months after heart-lung transplantation, maintaining stable hemodynamics. Surgical repair was successfully performed using a collagen-coated polyester tube graft. Post-operative recovery was uneventful, and the patient was discharged in stable condition. Microbiological and histopathological analyses revealed no infective etiology.
What made this case unusual
The case is notable for the occurrence of a large unruptured ascending aortic aneurysm in a pediatric heart-lung transplant recipient, which is atypical as most post-transplant aortic issues are infective.
Diagnostic / clinical pearl
Clinicians should maintain vigilance for ascending aortic aneurysms in transplant recipients, regardless of the donor aorta's condition, to ensure timely detection and management.
Why it matters
This case underscores the importance of screening donor tissues for connective tissue disorders to prevent post-operative complications in transplant recipients.