Buddingh K Tim, Zeebregts Clark J, Tilanus Martijn E C, Roofthooft Marc T R, Broens Paul M A
Division of Paediatric Surgery, Department of Surgery, University Medical Center Groningen, 9700 RB Groningen, The Netherlands.
J Pediatr Surg. 2008 Jul;43(7):1361-4. doi: 10.1016/j.jpedsurg.2008.02.008.
We present a neonate with a large saccular aneurysm of the thoracoabdominal aorta, extending from the intrathoracic aorta to the left common iliac artery. No underlying cause could be identified. Despite an early diagnosis, the aneurysm was deemed inoperable because of the lengthy involvement and the frail aspect of all visceral arteries. A review of the literature on congenital abdominal aortic aneurysm in infants was conducted. Eleven cases of live-born infants with a congenital abdominal aortic aneurysm have previously been published. None of them involved as large a part of the thoracic and abdominal aorta as the case presented here.
我们报告一例患有胸主动脉和腹主动脉巨大囊状动脉瘤的新生儿，该动脉瘤从胸主动脉延伸至左髂总动脉。未发现潜在病因。尽管诊断较早，但由于动脉瘤累及范围长且所有内脏动脉均较脆弱，故认为无法进行手术。我们对婴儿先天性腹主动脉瘤的文献进行了回顾。此前已发表11例活产婴儿先天性腹主动脉瘤的病例。但这些病例中，没有一例像本文所报道的病例那样累及如此大范围的胸主动脉和腹主动脉。
