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Abdominal aorta aneurysms in children: single-center experience of six patients

Caisheng Ye1, Henghui Yin, Ying Lin

  • 1Department of Vascular Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.

The Annals of Thoracic Surgery
|November 8, 2011
PubMed

Insights

Pediatric abdominal aortic aneurysms (AAA) are rare but serious. Prompt diagnosis and surgical repair using prosthetic grafts offer good outcomes in children, though recurrence is possible.

Area of Science:

  • Vascular Surgery
  • Pediatric Cardiology
  • Medical Case Studies

Background:

  • Abdominal aortic aneurysms (AAA) are uncommon in pediatric patients.
  • AAA in children is associated with high morbidity and mortality.
  • This study reviews the diagnosis and management of AAA in 6 pediatric cases.

Purpose of the Study:

  • To summarize the institutional experience in diagnosing and managing pediatric abdominal aortic aneurysms.
  • To evaluate the outcomes of surgical intervention for AAA in children.

Main Methods:

  • Retrospective analysis of clinical data from 6 pediatric patients with AAA.
  • Diagnostic tools included color Doppler ultrasonography and CT angiography.
  • Surgical reconstruction involved aneurysm resection and prosthetic graft placement.

Main Results:

  • Mean age at diagnosis was 8 years; all presented with pulsatile abdominal masses.
  • Infrarenal AAAs were identified in all patients; causes were varied, including tuberous sclerosis and Takayasu's arteritis.
  • Successful surgical reconstruction was achieved in all 6 cases with no immediate complications; one late recurrence led to mortality.

Conclusions:

  • Prompt and accurate diagnosis is crucial for managing pediatric AAA.
  • Surgical management with prosthetic grafts can yield favorable outcomes in children.
  • Long-term surveillance is necessary due to the potential for aneurysm recurrence.
Abstract

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