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一名19个月大婴儿腹主动脉及右髂总动脉瘤伴特发性腹膜后纤维化的开放修复术。

Open repair of an abdominal aortic and right common iliac artery aneurysm with idiopathic retroperitoneal fibrosis in a 19-month-old infant.

作者信息

Chamseddin Khalil, Solano Antonio, Keller Melissa R, Siah Michael C, Gonzalez-Guardiola Gerardo, Prakash Vivek, Shih Michael, Baig M Shadman, Timaran Carlos H, Kirkwood Melissa L

机构信息

Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Apr 22;10(4):101513. doi: 10.1016/j.jvscit.2024.101513. eCollection 2024 Aug.

DOI:10.1016/j.jvscit.2024.101513
PMID:38868166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11167345/
Abstract

An abdominal aortic aneurysm (AAA) in children is a rare clinical condition, with idiopathic AAAs even more atypical. We report a case of a 19-month-old girl with incidental findings of an infrarenal AAA and right common iliac artery aneurysm during workup for heart failure. Extensive genetic testing was unremarkable for connective tissue disorders. An aortic bi-iliac artery bypass with a Dacron graft from the infrarenal aorta to the right external iliac artery and left common iliac artery was performed. The patient achieved complete recovery and only required one oral hypertensive medication at 30 days of follow-up. Wide patency of the graft was observed on the 3-month follow-up computed tomography angiogram.

摘要

儿童腹主动脉瘤（AAA）是一种罕见的临床病症，特发性AAA则更为罕见。我们报告一例19个月大女童，在因心力衰竭进行检查时偶然发现肾下腹主动脉瘤和右侧髂总动脉瘤。广泛的基因检测未发现结缔组织疾病相关异常。采用涤纶移植物进行了从肾下腹主动脉到右侧髂外动脉和左侧髂总动脉的主动脉双髂动脉搭桥术。患者完全康复，随访30天时仅需一种口服降压药物。在3个月的随访计算机断层扫描血管造影中观察到移植物通畅良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/8fa4e83caa8d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/8c9c0f33fb06/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/d0a3289f5d9c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/73c0aaa67cfa/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/8fa4e83caa8d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/8c9c0f33fb06/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/d0a3289f5d9c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/73c0aaa67cfa/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bb9/11167345/8fa4e83caa8d/gr4.jpg

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Open repair of an abdominal aortic and right common iliac artery aneurysm with idiopathic retroperitoneal fibrosis in a 19-month-old infant.一名19个月大婴儿腹主动脉及右髂总动脉瘤伴特发性腹膜后纤维化的开放修复术。
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Retroperitoneal Fibrosis Is Still an Underdiagnosed Entity with Poor Prognosis.腹膜后纤维化仍是一种诊断不足且预后不良的疾病。
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