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Published on: August 11, 2015
Axillary artery aneurysms in pediatric patients: A narrative review
Francesca Palma1, Giuseppe Asciutto2, Marco Virgilio Usai1
1Department of Vascular Surgery, St. Franziskus Hospital, Münster, Germany.
Insights
Pediatric axillary artery aneurysms are rare. Open surgery repair using great saphenous vein offers the best long-term outcome, though other treatments may be considered.
Area of Science:
- Vascular Surgery
- Pediatric Cardiology
Background:
- Axillary artery aneurysms are uncommon in children.
- Etiologies are multifactorial, presenting a range of symptoms from incidental findings to limb-threatening complications.
Purpose of the Study:
- To conduct a comprehensive literature review on pediatric axillary artery aneurysms.
- To focus on the etiology and management strategies for this rare condition.
Main Methods:
- Multi-staged comprehensive literature review.
- Categorization of studies based on aneurysm type (true or false) and etiology.
Main Results:
- Treatment strategies vary based on aneurysm extension and underlying cause.
- No specific results on treatment efficacy were detailed in the abstract.
Conclusions:
- Open surgical repair with great saphenous vein is the preferred long-term treatment.
- Endovascular repair, embolization, and conservative management are alternative options depending on the case.
Objectives:
Axillary artery aneurysms in children are rare and multifactorial. The presenting clinical picture can range from an incidental discovery to threatening symptoms, including loss of extremity function. With the present study we aim to give a comprehensive review of the existing literature focusing on the etiology and management of this rare but threatening pathology.
Method:
A comprehensive review was made in a multi-staged manner. All identified studies have been categorized based on the type of lesions (true or false aneurysm) and their etiologies.
Results:
The treatments differ from the extension of the lesions and from the etiology.
Conclusions:
Open surgery repair with great saphenous vein is still the best long-term approach, but even endovascular, embolization, or conservative management can be considered.
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