Department of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, Seattle, WA 98105, USA.
J Vasc Surg. 2012 Jun;55(6):1762-5. doi: 10.1016/j.jvs.2011.12.041. Epub 2012 Apr 11.
Primary congenital abdominal aortic aneurysm is an extremely rare entity, with only 15 patients reported in the literature. Options for repair are often limited secondary to branch vessel size and other anatomic limitations. We present a neonate diagnosed with an abdominal aortic aneurysm on prenatal ultrasound. A postpartum computed tomography angiogram revealed an extensive type IV thoracoabdominal aortic aneurysm extending to the aortic bifurcation and resulting in bilateral renal artery stenosis. The unique features of this patient and challenges in management are discussed.
先天性原发性腹主动脉瘤极为罕见，文献中仅有 15 例患者报道。由于分支血管大小和其他解剖限制，修复选择往往受限。我们报告了一例产前超声诊断为腹主动脉瘤的新生儿。产后 CT 血管造影显示广泛型 IV 型胸腹主动脉瘤，延伸至主动脉分叉处，并导致双侧肾动脉狭窄。讨论了该患者的独特特征和治疗中的挑战。
