Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft

Congenital abdominal aortic aneurysms (AAA) are an extremely rare entity. We present the case of a female fetus diagnosed with an AAA on routine prenatal ultrasound. A postnatal computed tomography angiogram revealed an infrarenal AAA with a narrow proximal neck. Surgery was performed on day of life...

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Autores principales: Le-Nguyen, Annie, Joharifard, Shahrzad, Côté, Geneviève, Borsuk, Daniel, Ghali, Rafik, Lallier, Michel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929720/
https://www.ncbi.nlm.nih.gov/pubmed/33680709
http://dx.doi.org/10.1055/s-0041-1723019
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author Le-Nguyen, Annie
Joharifard, Shahrzad
Côté, Geneviève
Borsuk, Daniel
Ghali, Rafik
Lallier, Michel
author_facet Le-Nguyen, Annie
Joharifard, Shahrzad
Côté, Geneviève
Borsuk, Daniel
Ghali, Rafik
Lallier, Michel
author_sort Le-Nguyen, Annie
collection PubMed
description Congenital abdominal aortic aneurysms (AAA) are an extremely rare entity. We present the case of a female fetus diagnosed with an AAA on routine prenatal ultrasound. A postnatal computed tomography angiogram revealed an infrarenal AAA with a narrow proximal neck. Surgery was performed on day of life 14 using a cadaveric femoral artery graft. The proximal anastomosis was performed under the microscope given the severity of the aortic stenosis and the proximity of the renal arteries. The patient's postoperative course was uneventful and she is developing normally 1 year after surgery. The graft remains permeable, albeit with evidence of proximal and distal stenosis and graft calcification on imaging.
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spelling pubmed-79297202021-03-05 Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft Le-Nguyen, Annie Joharifard, Shahrzad Côté, Geneviève Borsuk, Daniel Ghali, Rafik Lallier, Michel European J Pediatr Surg Rep Congenital abdominal aortic aneurysms (AAA) are an extremely rare entity. We present the case of a female fetus diagnosed with an AAA on routine prenatal ultrasound. A postnatal computed tomography angiogram revealed an infrarenal AAA with a narrow proximal neck. Surgery was performed on day of life 14 using a cadaveric femoral artery graft. The proximal anastomosis was performed under the microscope given the severity of the aortic stenosis and the proximity of the renal arteries. The patient's postoperative course was uneventful and she is developing normally 1 year after surgery. The graft remains permeable, albeit with evidence of proximal and distal stenosis and graft calcification on imaging. Georg Thieme Verlag KG 2021-01 2021-03-03 /pmc/articles/PMC7929720/ /pubmed/33680709 http://dx.doi.org/10.1055/s-0041-1723019 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Le-Nguyen, Annie
Joharifard, Shahrzad
Côté, Geneviève
Borsuk, Daniel
Ghali, Rafik
Lallier, Michel
Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
title Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
title_full Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
title_fullStr Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
title_full_unstemmed Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
title_short Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft
title_sort neonatal microsurgical repair of a congenital abdominal aortic aneurysm with a cadaveric graft
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929720/
https://www.ncbi.nlm.nih.gov/pubmed/33680709
http://dx.doi.org/10.1055/s-0041-1723019
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