Thoracic Aortic Aneurysm Revealed by Haemoptysis on a 10-Year-Old Girl at Paediatrics Department of Yalgado Ouedraogo University Hospital

• 作者: Angèle Kalmogho Caroline Yonaba Chantal Bouda Chantal Zoungrana Ouattara Flore Ouédraogo Ludovic Kam Ousseini Diallo
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: AORTA ANEURYSM Haemoptysis COARCTATION Burkina Faso
• 年，卷（期）: 2017,（1）
• 页码范围: 13-17
• 页数: 5页
• 分类号: R73

摘要

Thoracic aortic aneurysm is a rather rare disorder in children and difficult to diagnose. It is generally linked to congenital heart defects or connective-tissue diseases. Our case is a 10-year-old girl admitted in the pediatric emergency care unit on January 19th, 2015 for massive haemoptysis and severe anaemia. Examination revealed severe anemia and a silent left lung. The Chest X-Ray revealed an abnormal mass on the upper left side of the mediastinum, and left lower lobe consolidation. The thoracic CT scan highlighted a 64 mm aneurysm of the subisthmic aorta with a thin 5 mm hole. It also showed pseudocoarctation of the aorta. Treatment in intensive care consisted of blood transfusion and iron supplement. She was due to travel abroad for cardio vascular surgery, but died on November 2016. Thoracic Aortic Aneurysm in our setting was discovered incidentally. In spite the fact that it is an extreme surgical emergency, in Burkina Faso, treatment can only be possible abroad upon medical evacuation.