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Arterial aneurysms in children: clinicopathologic classification.

R Sarkar1, A G Coran, R E Cilley

  • 1Department of Surgery, University of Michigan Medical Center, Ann Arbor.

Journal of Vascular Surgery
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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Pediatric arterial macroaneurysms are rare but diverse, affecting various vessels. Surgical treatment offers good long-term survival for children with these complex vascular conditions.

Area of Science:

  • Vascular Surgery
  • Pediatric Cardiology
  • Pediatric Radiology

Background:

  • Arterial macroaneurysms in children are uncommon and present unique diagnostic and therapeutic challenges.
  • A wide spectrum of arterial vessels can be affected, including the aorta, renal, and superficial femoral arteries.

Purpose of the Study:

  • To categorize childhood arterial aneurysmal disease based on clinicopathologic characteristics.
  • To review treatment outcomes and long-term survival in pediatric patients with arterial macroaneurysms.

Main Methods:

  • Retrospective review of 31 arterial macroaneurysms in 23 pediatric patients treated at the University of Michigan.
  • Analysis of clinical manifestations, affected vessels, diagnostic methods (arteriography, operation), and treatment outcomes.

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  • Categorization of aneurysms into true aneurysms (associated with infection, vasculitis, connective tissue disease, etc.) and false aneurysms.

    • Main Results:

    • The average age at diagnosis was 10.2 years, with a male predominance (16 boys, 7 girls).
    • Renal arteries were most commonly involved (12 cases), followed by aorta and superficial femoral arteries.
    • Surgical therapy was performed in all but one patient, resulting in 20 long-term survivors with a mean follow-up of 3.5 years. One operative death and one late death were reported.

    Conclusions:

    • Childhood arterial aneurysms exhibit diverse etiologies, including infectious, inflammatory, genetic, and congenital factors.
    • Accurate categorization of these aneurysms is crucial for effective management and treatment planning in pediatric patients.
    • Surgical intervention demonstrates favorable long-term outcomes, highlighting the importance of timely diagnosis and treatment.