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Abdominal aortic aneurysm in a child with tuberous sclerosis
Sabrina Lasini Gruhl1, Yi Chuan Tham1, York Tien Lee2
1Department of Cardiothoracic Surgery, KK Women's and Children's Hospital, Singapore.
Journal of Vascular Surgery Cases and Innovative Techniques
|August 8, 2022
Summary
A rare abdominal aortic aneurysm in a child with tuberous sclerosis was successfully treated with aortic graft replacement. This case highlights a unique presentation and successful surgical intervention in a pediatric patient.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Genetics
Background:
- Abdominal aortic aneurysms (AAAs) are exceedingly rare in children.
- Tuberous sclerosis complex (TSC) is a genetic disorder that can affect multiple organs, but vascular manifestations like AAA are uncommon.
- Pediatric AAA diagnosis often presents challenges due to its rarity.
Observation:
- A 3-year, 8-month-old girl with tuberous sclerosis presented with breakthrough seizures.
- Physical examination revealed a painless, pulsatile abdominal mass.
- Abdominal ultrasound confirmed a large saccular abdominal aortic aneurysm.
Findings:
- The patient underwent urgent surgical repair of the abdominal aorta.
- A 12-mm woven Dacron graft was used for aortic replacement.
- Postoperative ultrasound confirmed successful graft placement and aortic repair.
Implications:
- This case demonstrates the successful management of a rare abdominal aortic aneurysm in a pediatric patient with tuberous sclerosis.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in pediatric AAA.
- Highlights the importance of considering vascular complications in children with TSC.
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