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November 1977

False Aneurysm of the Descending Aorta: A Complication of Umbilical Artery Catheterization

Author Affiliations

From the Department of Pediatric Cardiology, Mayo Graduate School of Medicine (Dr Spangler), and the Departments of Pediatrics (Dr Kleinberg) and Diagnostic Roentgenology (Dr Fulton) and the Divisions of Cardiovascular and General Surgery (Dr Barnhorst) and Pediatric Cardiology and Cardiovascular Diseases and Internal Medicine (Dr Ritter), Mayo Clinic and Mayo Foundation, Rochester, Minn. Dr Spangler is now with the Department of Pediatric Cardiology, Geisinger Medical Center, Danville, Pa.

Am J Dis Child. 1977;131(11):1258-1259. doi:10.1001/archpedi.1977.02120240076016

• A patient had an aneurysm of the descending aorta secondary to aortitis arising from umbilical artery catheterization and in association with coarctation of the aorta. The aortitis probably was the direct result of bacterial contamination of the umbilicus and catheter with Staphylococcus aureus and the placement of the catheter tip just distal to a coarctation of the aorta. The patient required surgical resection of the coarctation and aneurysm of the descending aorta and placement of a tubular Dacron graft at 6 months of age. This is, to our knowledge, a hitherto unreported complication of umbilical artery catheterization.

(Am J Dis Child 131:1258-1259, 1977)