{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:17:47Z","timestamp":1776212267512,"version":"3.50.1"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T00:00:00Z","timestamp":1613347200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Pseudo-aneurysm is a fatal disease, and the main cause of death is massive hemorrhage secondary to the rupture of the aneurysm. This case report aims to evaluate the effects of pseudo-aneurysm excision procedure on the disease. A 4-year-old girl was readmitted on the 20th day after ventricular septal defect (VSD) closure procedure with a high fever of 40\u00b0C; aortic pseudo-aneurysm was suspected based on a spherical cystic echo (82 \u00d7 76 mm) of the ascending aorta which was detected by ultrasonic cardiogram, and the diagnosis was confirmed by an aortic computed tomograph angiography (CTA) examination and intraoperative findings. Treatment included emergency pseudo-aneurysm excision procedure and antibiotic therapy. The aortic pseudo-aneurysm was surgically removed under deep hypothermia and circulatory arrest. Antibiotics were applied according to the bacterial culture results. The pseudo-aneurysm was excised successfully, and the patient achieved a good recovery. Our case suggests that the postoperative ascending aortic pseudo-aneurysm was probably due to inappropriate purse-string suture and\/or local or systematic infection, so extra precautions should be taken to avoid this life-threatening complication.<\/jats:p>","DOI":"10.3389\/fped.2021.576527","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T04:30:52Z","timestamp":1613363452000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Case Report: Ascending Aortic Pseudo-Aneurysm Following Ventricular Septal Defect Repair in a 4-Year-Old Girl"],"prefix":"10.3389","volume":"9","author":[{"given":"Xinya","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjun","family":"Ge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1111\/jocs.13742","article-title":"Ascending aorta pseudo-aneurysm due to proximal and distal suture dehiscence","volume":"33","author":"Gennari","year":"2018","journal-title":"J Card Surg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1536\/ihj.15-171","article-title":"Improvement of severe heart failure after endovascular stent grafting for thoracic aortic aneurysm","volume":"56","author":"Yamaguchi","year":"2015","journal-title":"INT Heart J."},{"key":"B3","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1016\/j.athoracsur.2006.02.081","article-title":"Thoracic aorta false aneurysm: what surgical strategy should be recommended?","volume":"82","author":"Villavicencio","year":"2006","journal-title":"Ann Thorac Surg."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1285","DOI":"10.1016\/j.jtcvs.2008.04.006","article-title":"Ascending aortic pseudoaneurysm after aortic valve replacement: watch the tip of the cardioplegia cannula!","volume":"137","author":"Emaminia","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1016\/j.athoracsur.2010.06.103","article-title":"Reoperations for aortic false aneurysms after cardiac surgery","volume":"90","author":"Malvindi","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/j.ejvssr.2019.12.003","article-title":"Symptomatic distal anastomotic pseudo-aneurysm after the bentall procedure successfully treated by supra-aortic trunk debranching and zone 0 thoracic endovascular aneurysm repair","volume":"47","author":"Sousa","year":"2020","journal-title":"EJVES Short Rep"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1093\/eurheartj\/ehy916","article-title":"A rare case of percutaneous exclusion of a huge aortic pseudo-aneurysm following aortic bio prosthetic endocarditis: key role of 3D echo-fluoro fusion imaging","volume":"40","author":"Mara","year":"2019","journal-title":"Eur Heart J."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1093\/ehjci\/jex179","article-title":"Ionescu A. Ascending aortic pseudo-aneurysm treated with 'coil and plug'","volume":"18","author":"Khanji","year":"2017","journal-title":"Eur Heart J."}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2021.576527\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T04:30:55Z","timestamp":1613363455000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2021.576527\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,15]]},"references-count":8,"alternative-id":["10.3389\/fped.2021.576527"],"URL":"https:\/\/doi.org\/10.3389\/fped.2021.576527","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,15]]},"article-number":"576527"}}