Subarachnoid haemorrhage from undiagnosed mycotic aortic aneurysm in a child

• Published in: Cardiology in the young Vol. 28; no. 3; p. 461
• Main Authors: Shinkawa, Takeshi, Ramakrishnaiah, Raghu H, Eble, Brian K
• Format: Journal Article
• Language: English
• Published: England 01-03-2018
• Subjects: Aneurysm, Infected - complications; Aneurysm, Infected - surgery; Aortic Aneurysm - complications; Aortic Aneurysm - surgery; Child, Preschool; Endocarditis, Bacterial - surgery; Heart Defects, Congenital - surgery; Humans; Intracranial Aneurysm - diagnostic imaging; Magnetic Resonance Imaging; Male; Streptococcal Infections - complications; Streptococcus - isolation & purification; Subarachnoid Hemorrhage - diagnostic imaging; Subarachnoid Hemorrhage - etiology; Subarachnoid Hemorrhage - surgery; Tomography, X-Ray Computed; intracranial haemorrhages; Aortic aneurysm; CHD; child
• ISSN: 1467-1107
• DOI: 10.1017/S1047951117001974

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.