Open Repair of an Abdominal Aortic and Right Common Iliac Artery Aneurysm with Idiopathic Retroperitoneal Fibrosis in a 19-month-old Infant

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2024 Jun 13

PMID 38868166

Authors

Khalil Chamseddin

Antonio Solano

Melissa R Keller

Michael C Siah

Gerardo Gonzalez-Guardiola

Vivek Prakash

Michael Shih

M Shadman Baig

Carlos H Timaran

Melissa L Kirkwood

Affiliations

Soon will be listed here.

Abstract

An abdominal aortic aneurysm (AAA) in children is a rare clinical condition, with idiopathic AAAs even more atypical. We report a case of a 19-month-old girl with incidental findings of an infrarenal AAA and right common iliac artery aneurysm during workup for heart failure. Extensive genetic testing was unremarkable for connective tissue disorders. An aortic bi-iliac artery bypass with a Dacron graft from the infrarenal aorta to the right external iliac artery and left common iliac artery was performed. The patient achieved complete recovery and only required one oral hypertensive medication at 30 days of follow-up. Wide patency of the graft was observed on the 3-month follow-up computed tomography angiogram.

References

Lon I, Wieliczko M, Lewandowski J, Malyszko J . Retroperitoneal Fibrosis Is Still an Underdiagnosed Entity with Poor Prognosis. Kidney Blood Press Res. 2021; 47(3):151-162. DOI: 10.1159/000521423. View

Stenbaek J, Kalin B, Swedenborg J . Growth of thrombus may be a better predictor of rupture than diameter in patients with abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2000; 20(5):466-9. DOI: 10.1053/ejvs.2000.1217. View

Moxon J, Parr A, Emeto T, Walker P, Norman P, Golledge J . Diagnosis and monitoring of abdominal aortic aneurysm: current status and future prospects. Curr Probl Cardiol. 2010; 35(10):512-48. PMC: 3014318. DOI: 10.1016/j.cpcardiol.2010.08.004. View

Sawan E, Henaine R, Daou L, Jebara V . Successful Operation for Thoracoabdominal Aortic Aneurysm in a 5-Year-Old Boy With Tuberous Sclerosis. Ann Thorac Surg. 2015; 100(5):e119-20. DOI: 10.1016/j.athoracsur.2015.07.052. View

Dalainas I, Nano G, Ranucci M, Bianchi P, Stegher S, Casana R . Inflammatory abdominal aortic aneurysms. A 20-year experience. J Cardiovasc Surg (Torino). 2007; 48(3):305-8. View

Umehara H, Okazaki K, Masaki Y, Kawano M, Yamamoto M, Saeki T . Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 2011. Mod Rheumatol. 2012; 22(1):21-30. DOI: 10.1007/s10165-011-0571-z. View

HOWORTH Jr M . Aneurysm of abdominal aorta in the newborn infant. Report of case. N Engl J Med. 1967; 276(20):1133-4. DOI: 10.1056/NEJM196705182762007. View

Rasmussen T, Hallett Jr J . Inflammatory aortic aneurysms. A clinical review with new perspectives in pathogenesis. Ann Surg. 1997; 225(2):155-64. PMC: 1190644. DOI: 10.1097/00000658-199702000-00003. View

McAteer J, Ricca R, Johansen K, Goldin A . Extensive congenital abdominal aortic aneurysm and renovascular disease in the neonate. J Vasc Surg. 2012; 55(6):1762-5. DOI: 10.1016/j.jvs.2011.12.041. View

10.

Sarkar R, Coran A, Cilley R, LINDENAUER S, Stanley J . Arterial aneurysms in children: clinicopathologic classification. J Vasc Surg. 1991; 13(1):47-56; discussion 56-7. View

11.

Golledge J, Norman P . Current status of medical management for abdominal aortic aneurysm. Atherosclerosis. 2011; 217(1):57-63. DOI: 10.1016/j.atherosclerosis.2011.03.006. View

12.

Kim E, Caiati J, Tu J, Nowygrod R, Stolar C . Congenital abdominal aortic aneurysm causing renovascular hypertension, cardiomyopathy, and death in a 19-day-old neonate. J Pediatr Surg. 2001; 36(9):1445-9. DOI: 10.1053/jpsu.2001.26394. View

13.

Salerno A, Marsenic O, Meyers K, Kaplan B, Hellinger J . Vascular involvement in tuberous sclerosis. Pediatr Nephrol. 2010; 25(8):1555-61. DOI: 10.1007/s00467-010-1466-5. View

14.

Corradi D, Maestri R, Palmisano A, Bosio S, Greco P, Manenti L . Idiopathic retroperitoneal fibrosis: clinicopathologic features and differential diagnosis. Kidney Int. 2007; 72(6):742-53. DOI: 10.1038/sj.ki.5002427. View

15.

Millar A, Gilbert R, BROWN R, Immelman E, Burkimsher D, Cywes S . Abdominal aortic aneurysms in children. J Pediatr Surg. 1996; 31(12):1624-8. DOI: 10.1016/s0022-3468(96)90034-2. View

16.

Dueppers P, Duran M, Grabitz K, Schelzig H . Open Repair for Abdominal Aortic Aneurysm in a Young Boy with Tuberous Sclerosis and Review of the Literature. Ann Vasc Surg. 2016; 39:286.e1-286.e5. DOI: 10.1016/j.avsg.2016.06.025. View

17.

Wang Y, Tao Y . Diagnosis and treatment of congenital abdominal aortic aneurysm: a systematic review of reported cases. Orphanet J Rare Dis. 2015; 10:4. PMC: 4307982. DOI: 10.1186/s13023-015-0225-x. View

18.

Chadi S, Rowe B, Vogt K, Novick T, Harris J, DeRose G . Trends in management of abdominal aortic aneurysms. J Vasc Surg. 2012; 55(4):924-8. DOI: 10.1016/j.jvs.2011.10.094. View

19.

Moon S, Shin W, Park Y, Kim S . An abdominal aortic aneurysm in an 8-month-old girl with tuberous sclerosis. Eur J Vasc Endovasc Surg. 2009; 37(5):569-71. DOI: 10.1016/j.ejvs.2009.01.002. View

20.

Mehall J, Saltzman D, Chandler J, Kidd J, Wells T, Smith S . Congenital abdominal aortic aneurysm in the infant: case report and review of the literature. J Pediatr Surg. 2001; 36(4):657-8. DOI: 10.1053/jpsu.2001.22314. View