Pediatric idiopathic iliac artery aneurysm repair with limited conduit options

ObjectivesPediatric arterial aneurysms are very uncommon. Those without an underlying identifiable etiology such as infection or autoimmune disease are even rarer. In young children, options for repair are limited. We report the case of a pediatric common iliac artery aneurysm that was surgically repaired.MethodsA 27-month-old male presenting for an evaluation of persistent hypertension underwent an abdominal CT scan and was incidentally found to have a large right common iliac artery aneurysm along with a thrombosed, proximal right internal iliac artery aneurysm. Given the size, the aneurysm was repaired with a bypass constructed from cryopreserved femoral artery allograft.ResultsThe procedure was uncomplicated, with continued patency of the graft determined via ultrasound at 7 months.ConclusionA pediatric iliac artery aneurysm was successfully repaired with a cadaveric femoral artery graft in the setting of limited conduit options.