Farirai F. Takawira, FCPaed(SA), Jayneel A. Joshi, FCPaed(SA), Dirk J

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Presentation transcript:

Development of a Subaortic Aneurysm Secondary to Disseminated Tuberculosis in a Child Farirai F. Takawira, FCPaed(SA), Jayneel A. Joshi, FCPaed(SA), Dirk J. Du Plessis, MMed The Annals of Thoracic Surgery Volume 90, Issue 2, Pages 644-647 (August 2010) DOI: 10.1016/j.athoracsur.2010.01.070 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Apical four-chamber view and parasternal long-axis view echocardiogram (inset) demonstrating the organized loculated pericardial effusion. (AO = aorta; LA = left atrium; LV = left ventricle; PE = loculated organized pericardial effusion; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2010 90, 644-647DOI: (10.1016/j.athoracsur.2010.01.070) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Repeat transthoracic echocardiogram 6 weeks after presentation. Parasternal long axis view demonstrating a small pouch in the subaortic area (arrow). (AO = aorta; LA = left atrium; LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery 2010 90, 644-647DOI: (10.1016/j.athoracsur.2010.01.070) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Repeat transthoracic echocardiogram 3 months after presentation. (A) Modified parasternal long-axis view demonstrating a large subaortic aneurysm. (B) Modified apical three-chamber view demonstrating the large subaortic aneurysm compressing the left atrium (LA). The opening of the aneurysm is seen just below the aortic valve (arrow). (AN = aneurysm; AO = aorta; LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery 2010 90, 644-647DOI: (10.1016/j.athoracsur.2010.01.070) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Transesophageal echocardiogram: (A) demonstrating the large subaortic aneurysm compressing the left atrium and narrow neck (arrow). (B) With color Doppler showing the restrictive flow through the neck of the aneurysm (arrow). (AN = aneurysm; AO = aorta; LA = left atrium; LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery 2010 90, 644-647DOI: (10.1016/j.athoracsur.2010.01.070) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Left ventriculogram and ascending aortogram (inset) demonstrating the large aneurysm compressing on the left coronary artery (arrows). (AO = aorta; AN = aneurysm; LV = left ventricle.) The Annals of Thoracic Surgery 2010 90, 644-647DOI: (10.1016/j.athoracsur.2010.01.070) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions