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Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review

Reported here is a case of 1-year-old male child who presented with huge abdominal mass, which on radiological investigation was diagnosed as retroperitoneal pseudoaneurysm of the aorta. On exploration, it was found to be a true aneurysm of infrarenal abdominal aorta with inflow agenesis. Aneurysm w...

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Autores principales: Bansal, Ashwani, Mitra, Aparajita, Bisoi, Akshay Kumar, Agarwala, Sandeep
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473308/
https://www.ncbi.nlm.nih.gov/pubmed/28694579
http://dx.doi.org/10.4103/jiaps.JIAPS_258_16
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author Bansal, Ashwani
Mitra, Aparajita
Bisoi, Akshay Kumar
Agarwala, Sandeep
author_facet Bansal, Ashwani
Mitra, Aparajita
Bisoi, Akshay Kumar
Agarwala, Sandeep
author_sort Bansal, Ashwani
collection PubMed
description Reported here is a case of 1-year-old male child who presented with huge abdominal mass, which on radiological investigation was diagnosed as retroperitoneal pseudoaneurysm of the aorta. On exploration, it was found to be a true aneurysm of infrarenal abdominal aorta with inflow agenesis. Aneurysm was excised, and aorta was reconstructed with 10 mm Dacron graft. Postoperative computed tomography angiography showed patent graft with good distal runoff. Literature review revealed that only 26 cases of congenital abdominal aortic aneurysm had been reported so far. None of them had inflow agenesis which can give false impression of pseudoaneurysm on preoperative evaluation. The case highlights the utility of additional complimentary investigations such as Doppler study in clinching diagnosis and helping plan and execute successful treatment in the difficult diagnostic scenario.
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spelling pubmed-54733082017-07-11 Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review Bansal, Ashwani Mitra, Aparajita Bisoi, Akshay Kumar Agarwala, Sandeep J Indian Assoc Pediatr Surg Case Report Reported here is a case of 1-year-old male child who presented with huge abdominal mass, which on radiological investigation was diagnosed as retroperitoneal pseudoaneurysm of the aorta. On exploration, it was found to be a true aneurysm of infrarenal abdominal aorta with inflow agenesis. Aneurysm was excised, and aorta was reconstructed with 10 mm Dacron graft. Postoperative computed tomography angiography showed patent graft with good distal runoff. Literature review revealed that only 26 cases of congenital abdominal aortic aneurysm had been reported so far. None of them had inflow agenesis which can give false impression of pseudoaneurysm on preoperative evaluation. The case highlights the utility of additional complimentary investigations such as Doppler study in clinching diagnosis and helping plan and execute successful treatment in the difficult diagnostic scenario. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5473308/ /pubmed/28694579 http://dx.doi.org/10.4103/jiaps.JIAPS_258_16 Text en Copyright: © 2017 Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Bansal, Ashwani
Mitra, Aparajita
Bisoi, Akshay Kumar
Agarwala, Sandeep
Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review
title Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review
title_full Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review
title_fullStr Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review
title_full_unstemmed Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review
title_short Surgical Repair of Congenital Abdominal Aortic Aneurysm in a 1-year-old Child with Literature Review
title_sort surgical repair of congenital abdominal aortic aneurysm in a 1-year-old child with literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473308/
https://www.ncbi.nlm.nih.gov/pubmed/28694579
http://dx.doi.org/10.4103/jiaps.JIAPS_258_16
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