Longterm Followup of a Pediatric Patient with Congenital Abdominal Aortic Aneurysm with Coarctation

Congenital abdominal aortic aneurysm (AAA) with coarctation has been considered an extremely rare condition. In this study, we present a 3-year-old boy, who was diagnosed by chance with congenital AAA at first operation. We replaced the AAA+coarctation with a 6-mm polytetrafluoroethylene (PTFE) graf...

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Detalles Bibliográficos
Autores principales: Chikada, Masahide, Chiba, Kiyoshi, Nawata, Kan, Tomita, Masahiro, Nakamura, Ryuji, Kinebuchi, Satoshi, Kita, Shota, Komagamine, Masahide, Kogo, Misa, Nishimaki, Hiroshi, Miyairi, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9816021/
https://www.ncbi.nlm.nih.gov/pubmed/36644269
http://dx.doi.org/10.3400/avd.cr.22-00067
Descripción
Sumario:Congenital abdominal aortic aneurysm (AAA) with coarctation has been considered an extremely rare condition. In this study, we present a 3-year-old boy, who was diagnosed by chance with congenital AAA at first operation. We replaced the AAA+coarctation with a 6-mm polytetrafluoroethylene (PTFE) graft. Histological examination of the aortic wall revealed no particular abnormalities. Collateral vessels were noted to develop over 14 years of followup. Good blood flow to both lower limbs and no intermittent claudication were observed. After growth, at the age 17, he underwent extra-anatomical bypass using a 12-mm PTFE graft. This is the first report of successful treatment of congenital AAA+coarctation with longterm followup.

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