{"id":5793,"date":"2026-10-23T09:55:11","date_gmt":"2026-10-23T07:55:11","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5793"},"modified":"2026-10-23T09:56:32","modified_gmt":"2026-10-23T07:56:32","slug":"cvja-2026-049","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2026-049\/","title":{"rendered":"Percutaneous device closure of a massive pseudoaneurysm of the descending aorta in a paediatric patient with Takayasu arteritis"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nJithin G. Thomas, Jayneel A. Joshi\r\n<\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                                    \r\n\r\nTakayasu arteritis (TA) is commonly known as a disease of young women, highly prevalent in Asia and Central America, and associated with multiple vascular complications. Although it is well described in the paediatric population, severe complications are rarely seen. A 6-year-old girl was referred to our institution with features suggestive of a tuberculosis infection, along with a suspected intrathoracic mass on preliminary imaging. Further investigations confirmed the mass to be a massive pseudoaneurysm originating from the descending aorta and extending into the left hemithorax. A multidisciplinary team concluded that this pseudoaneurysm carried a high mortality risk with a direct surgical approach. This case report describes the use of an Amplatzer\u2122 septal occluder as a bridge to surgical excision of the massive pseudoaneurysm in a paediatric patient with confirmed TA.\r\n\r\n                                                                                                        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>Takayasu arteritis, aortic pseudoaneurysm, aortic aneurysm, Amplatzer septal occluder, tuberculosis, paediatric<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> March 9, 2026; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> July 21, 2026; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> October 23, 2026<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>37<\/b>: 489-493<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 37, Issue 4<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2026-049<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n\r\n<strong>Division of Paediatric Cardiology, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa\r\n<\/strong>    <br \/>                                                                            \r\nJithin G. Thomas<br \/>\r\nJayneel A. Joshi\r\n<br \/><br \/> \r\n\r\n\r\n                [soshsc hide=\"logged\"]\r\n                \r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Takayasu arteritis (TA) is commonly known as a disease of young women, highly prevalent in Asia and Central America, and associated with multiple vascular complications. Although it is well described in the paediatric population, severe complications are rarely seen.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,112],"tags":[],"class_list":["post-5793","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-37-issue-4"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Percutaneous device closure of a massive pseudoaneurysm of the descending aorta in a paediatric patient with Takayasu arteritis - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Takayasu arteritis (TA) is commonly known as a disease of young women, highly prevalent in Asia and Central America, and associated with multiple vascular complications. 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