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Case Reports

Giant Ductal Aneurysm in an Asymptomatic 4-Year-Old Girl

^a Division of Pediatric Cardiology, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Arksansas
^b Department of Radiology, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Arksansas
^c Division of Pediatric Cardiothoracic Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Arksansas
^d Division of Pediatric Cardiology, University of Mississippi, Jackson, Mississippi

Accepted for publication July 11, 2008.

^_* Address correspondence to Dr Sachdeva, 1900 Maryland, Slot 512-3, Little Rock, AR 72202 (Email: sachdevaritu{at}uams.edu).

Ductal aneurysm is a rare but potentially fatal condition. We report the case of an asymptomatic 4-year-old girl who was noted to have a murmur and with further evaluation by echocardiography and computed tomographic angiography was diagnosed with a giant ductal aneurysm. The aneurysm occupied a large space in the mediastinum, compressed the pulmonary arteries, and was in close proximity to the sternum. At surgery, the aneurysm was successfully resected after careful separation from adjacent structures. Because the anterolateral wall of the ascending aorta was noted to be extraordinarily thinned-out, it was replaced with a patch.