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对一名患有结节性硬化症儿童的胸腹主动脉瘤的多种干预措施。

Multiple Interventions to Thoracoabdominal Aortic Aneurysm in a Child With Tuberous Sclerosis.

作者信息

Olvera Alejandro, Besho Joseph M, Tanaka Akiko, Safi Hazim J, Estrera Anthony L

机构信息

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at UTHealth, Houston, Texas.

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at UTHealth, Houston, Texas.

出版信息

Ann Thorac Surg. 2023 Feb;115(2):e49-e51. doi: 10.1016/j.athoracsur.2022.03.002. Epub 2022 Mar 17.

Abstract

Thoracoabdominal aortic aneurysms in toddlers are extremely rare. However, we experienced an extent III thoracoabdominal aortic aneurysm in a boy with tuberous sclerosis who underwent 3 open repairs and 1 endovascular aortic repair between the ages of 4 years and 18 years. This case highlights the potential for severe recurrent vascular aneurysms in the thoracic and abdominal aorta as a complication of tuberous sclerosis in children. Although aortic aneurysms in children are rare, it is vital to recognize these cases to prevent death due to rupture.

摘要

幼儿胸主动脉瘤极为罕见。然而,我们遇到一名患有结节性硬化症的男孩,他在4岁至18岁之间接受了3次开放性修复和1次血管腔内主动脉修复,患有III型胸主动脉瘤。该病例凸显了儿童结节性硬化症并发症导致胸主动脉和腹主动脉严重复发性血管动脉瘤的可能性。虽然儿童主动脉瘤很少见,但识别这些病例对于预防因动脉瘤破裂导致的死亡至关重要。

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