Andrea Klein MD , Antonio Solano MD , Parker Smith BS , Michael C. Siah MD , Gerardo Gonzalez-Guardiola MD , Khalil Chamseddin MD , Vivek Prakash MD , Michael Shih MD , M. Shadman Baig MD , Carlos H. Timaran MD , Robert Jaquiss MD , Melissa L. Kirkwood MD
{"title":"Open repair of a mycotic thoracic aortic aneurysm in a 5-month-old infant","authors":"Andrea Klein MD , Antonio Solano MD , Parker Smith BS , Michael C. Siah MD , Gerardo Gonzalez-Guardiola MD , Khalil Chamseddin MD , Vivek Prakash MD , Michael Shih MD , M. Shadman Baig MD , Carlos H. Timaran MD , Robert Jaquiss MD , Melissa L. Kirkwood MD","doi":"10.1016/j.jvscit.2026.102151","DOIUrl":null,"url":null,"abstract":"<div><div>Thoracic aortic aneurysms (TAAs) are very uncommon in pediatric patients, with mycotic TAAs even more atypical. We report the case of a 2-month-old boy with incidental findings of a TAA after treatment for prior endocarditis. Extensive infectious disease and genetic testing were unremarkable. TAA open repair and patch aortoplasty with a pulmonary artery allograft was performed. The patient was discharged on antibiotic prophylaxis, aspirin, and diuretic treatment and achieved complete recovery by the 30-day follow-up.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102151"},"PeriodicalIF":0.9000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468428726000341","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/10 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Thoracic aortic aneurysms (TAAs) are very uncommon in pediatric patients, with mycotic TAAs even more atypical. We report the case of a 2-month-old boy with incidental findings of a TAA after treatment for prior endocarditis. Extensive infectious disease and genetic testing were unremarkable. TAA open repair and patch aortoplasty with a pulmonary artery allograft was performed. The patient was discharged on antibiotic prophylaxis, aspirin, and diuretic treatment and achieved complete recovery by the 30-day follow-up.
期刊介绍:
Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.