Daniel Hetherman1, Kimberly Malka2, Andres Schanzer2, E. Christine Wallace3, David Kane4, Roger Breitbart5, Puja Banka5, Francis Fynn-Thompson6 and Michael Hirsh7*
1Department of Surgery, University of Massachusetts Medical School, USA
2Division of Vascular Surgery, University of Massachusetts Medical School, USA
3Department of Radiology, University of Massachusetts Medical School, USA
4Division of Pediatric Cardiology, University of Massachusetts Medical School, USA
5Division of Pediatric Cardiology, Boston Children’s Hospital, USA
6Division of Cardiac Surgery, Boston Children’s Hospital, Boston, USA
7Division of Pediatric Surgery, University of Massachusetts Medical School, USA
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.
Pediatric trauma; Cardiac herniation; Endovascular repair
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.