Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T05:35:24.604Z Has data issue: false hasContentIssue false
  • English
  • Français

Subarachnoid haemorrhage from undiagnosed mycotic aortic aneurysm in a child

Part of: Infectious

Published online by Cambridge University Press:  04 December 2017

Takeshi Shinkawa ,
Raghu H. Ramakrishnaiah  and
Brian K. Eble
Takeshi Shinkawa*
Affiliation:
Division of Pediatric and Congenital Cardiothoracic Surgery, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
Raghu H. Ramakrishnaiah
Affiliation:
Division of Pediatric Radiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
Brian K. Eble
Affiliation:
Division of Pediatric Cardiology, Arkansas Children’s Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
*
Correspondence to: T. Shinkawa, MD, Pediatric Cardiothoracic Surgery, Arkansas Children’s Hospital, 1 Children’s Way, Slot 677, Little Rock, AR 72202, United States of America. Tel: +1 501 364 5858; Fax: +1 501 364 5869; E-mail: TShinkawa@uams.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a case of subarachnoid haemorrhage resulting from a mycotic aortic aneurysm in a child with CHD. The patient previously underwent operations for CHD and had a subarachnoid haemorrhage of unknown cause before the scheduled re-operation. During the re-operation, a sealed rupture of an undiagnosed mycotic ascending aortic aneurysm was identified, and the causative organism was later identified as Streptococcus. A postoperative MRI indicated a partially thrombosed cerebral aneurysm. This case demonstrates that a mycotic aortic aneurysm can be a cause of intracranial haemorrhage in children.

Keywords

Aortic aneurysmchildCHDintracranial haemorrhages
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 3 , March 2018 , pp. 461 - 463
Check for updates
Copyright
© Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Al-Jarallah, A, Al-Rifai, MT, Riela, AR, Roach, ES. Nontraumatic brain hemorrhage in children: etiology and presentation. J Child Neurol 2000; 15: 284–289.Google Scholar
2. Lo, WD, Lee, J, Rusin, J, Perkins, E, Roach, ES. Intracranial hemorrhage in children: an evolving spectrum. Arch Neurol 2008; 65: 1629–1633.Google Scholar
3. Schievink, WI, Mokri, B, Piepgras, DG, Gittenberger-de Groot, AC. Intracranial aneurysms and cervicocephalic arterial dissections associated with congenital heart disease. Neurosurgery 1996; 39: 685–689.Google Scholar
4. García-Cabrera, E, Fernández-Hidalgo, N, Almirante, B, et al. Neurological complications of infective endocarditis: risk factors, outcome, and impact of cardiac surgery: a multicenter observational study. Circulation 2013; 127: 2272–2284.Google Scholar
5. Awadallah, SM, Kavey, RE, Byrum, CJ, et al. The changing pattern of infective endocarditis in childhood. Am J Cardiol 1991; 68: 90–94.Google Scholar