Park Youna, Kil Hong Ryang, Kim Sang Yoon, Kim Geena
Department of Pediatrics, Chungnam National University Sejong Hospital, School of Medicine, Chungnam National University, Daejeon 35105, Republic of Korea.
Department of Pediatrics, Chungnam National University Hospital, School of Medicine, Chungnam National University, Daejeon 35105, Republic of Korea.
Pediatr Rep. 2025 Aug 8;17(4):84. doi: 10.3390/pediatric17040084.
There are no recorded cases of catheter-induced aortic dissection in pediatric patients. We report a unique case of a pediatric patient with Down syndrome who developed a long-standing dissecting aortic aneurysm. The patient underwent successful stent insertion 10 years after experiencing difficulty retrieving an embolized patent ductus arteriosus device. The Down syndrome presented a complex clinical scenario, making diagnosis challenging due to a lack of cooperation and uncertainty about when the dissection occurred, as symptoms like pain were not reported. Though rare in children, it is vital to recognize procedures such as percutaneous closure of patent ductus arteriosus followed by device retrieval as potential risk factors for aortic dissections in the pediatric population.
在儿科患者中，尚无导管诱发主动脉夹层的记录病例。我们报告了一例患有唐氏综合征的儿科患者的独特病例，该患者出现了长期存在的主动脉夹层动脉瘤。该患者在尝试取出栓塞的动脉导管未闭装置遇到困难10年后，成功接受了支架植入术。唐氏综合征呈现出复杂的临床情况，由于缺乏配合以及夹层发生时间不确定（因为未报告疼痛等症状），使得诊断具有挑战性。尽管在儿童中罕见，但认识到诸如经皮闭合动脉导管未闭并随后取出装置等操作是儿科人群主动脉夹层的潜在危险因素至关重要。
