Division of Vascular Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea.
J Vasc Surg. 2013 Feb;57(2):508-10. doi: 10.1016/j.jvs.2012.08.106. Epub 2012 Dec 7.
Abdominal aortic aneurysms are distinctly uncommon in infants and children. These aneurysms, which are idiopathic in nature without any definite predisposing factors, are exceedingly rare. We present the case of a giant idiopathic congenital infrarenal abdominal aortic aneurysm with impending rupture in a 23-month-old boy, which was successfully treated with surgical repair using a cryopreserved cadaveric allograft. To the best of our knowledge, this is the oldest case and the third successful treatment of an idiopathic congenital abdominal aortic aneurysm repaired with a cryopreserved allograft in infants and children. Continued follow-up with multimodality imaging is required.
婴儿和儿童中，腹主动脉瘤非常罕见。这些动脉瘤本质上是特发性的，没有任何明确的诱发因素，极为罕见。我们报告了一例 23 个月大的男孩患有巨大特发性先天性肾下型腹主动脉瘤，即将破裂，采用冷冻保存的同种异体移植物成功进行了手术修复。据我们所知，这是年龄最大的病例，也是第三例采用冷冻保存同种异体移植物成功治疗婴儿和儿童特发性先天性腹主动脉瘤的病例。需要继续进行多模态成像随访。
