Abstract
Ductus arteriosus aneurysm is a rare congenital anomaly, more common in fetuses at late gestation and in children under 2 months of age. We present a description of a case of successful surgical treatment of a giant aneurysm of the open ductus arteriosus complicated by left-sided hemothorax in a child of 1.5 months of life, weighing 4.5 kg. Literature analysis revealed that most of the surgical resection of ductus arteriosus aneurysm with/without complications was performed from median sternotomy in cardiopulmonary bypass, separate perfusion of the aortic arch and lower extremities, suturing the mouth in the case of uncomplicated ductus arteriosus aneurysm or using Gott shunt bypassing the aneurysm and closing the neck patch of the aneurysm from the aortic lumen. In our patient, the surgery was performed from a lateral thoracotomy without the use of a heart-lung machine. The description of our case is another reminder of the possibility of rare fatal complications in a relatively “simple” violation of the physiological development of the child – an open ductus arteriosus.
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About the authors
- Inessa E. Nefedova, Cand. Med. Sc., Head of Department, orcid.org/0000-0002-9221-051X
- David O. Berishvili, Dr. Med. Sc., Head of Department, orcid.org/0000-0001-7379-345X
- Irina Yu. Baryshnikova, Cand. Med. Sc., Researcher, orcid.org/0000-0001-8071-2531
- Asya F. Manerova, Cand. Med. Sc., Anesthesiologist-Intensivist
