Le-Nguyen Annie, Joharifard Shahrzad, Côté Geneviève, Borsuk Daniel, Ghali Rafik, Lallier Michel
Department of Surgery, Division of General Surgery, Saint Justine Hospital, Montreal, Quebec, Canada.
Department of Surgery, Division of Pediatric Surgery, Saint Justine Hospital, Montreal, Quebec, Canada.
European J Pediatr Surg Rep. 2021 Jan;9(1):e23-e27. doi: 10.1055/s-0041-1723019. Epub 2021 Mar 3.
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.
先天性腹主动脉瘤极为罕见。我们报告一例在常规产前超声检查中被诊断为腹主动脉瘤的女性胎儿病例。产后计算机断层血管造影显示肾下腹主动脉瘤，近端颈部狭窄。出生后第14天进行手术，使用尸体股动脉移植物。鉴于主动脉狭窄的严重程度和肾动脉的接近程度，近端吻合在显微镜下进行。患者术后过程顺利，术后1年发育正常。移植物仍然通畅，尽管影像学显示近端和远端有狭窄以及移植物钙化。
