Surgical Treatment of Abdominal Aortoiliac Aneurysms in Children: A Case Series and Systematic Literature Review

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Donghyun Lim1, Song-Yi Kim2, Sanghyun Ahn1

  • 1Division of Vascular Surgery, Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Vascular Specialist International
|June 29, 2026
PubMed

Insights

Pediatric abdominal aortoiliac aneurysms (AAIAs) are rare but dangerous. Surgical treatment shows favorable outcomes, but careful graft selection and growth consideration are vital for long-term success in children.

Area of Science:

  • Vascular Surgery
  • Pediatric Cardiology
  • Medical Research

Background:

  • Abdominal aortoiliac aneurysms (AAIAs) in pediatric patients are exceptionally rare but pose a high risk of fatal rupture.
  • Prompt diagnosis and surgical intervention are critical for managing pediatric AAIAs.

Purpose of the Study:

  • To analyze the causes, surgical management strategies, and clinical outcomes of pediatric patients with AAIAs.
  • To conduct a systematic literature review to inform diagnostic and therapeutic approaches for pediatric AAIAs.

Main Methods:

  • A retrospective case series of pediatric patients (<20 years) undergoing surgical treatment for AAIAs.
  • A systematic literature review following PRISMA guidelines, searching PubMed, Embase, and Web of Science for relevant publications.

Main Results:

  • Five pediatric patients underwent successful surgery with no perioperative mortality; four had stable outcomes at 5-year follow-up.
  • Systematic review of 96 cases revealed diverse etiologies and surgical approaches, with generally favorable long-term outcomes.
  • One patient experienced early graft thrombosis but remained asymptomatic due to collateral circulation.

Conclusions:

  • Pediatric AAIAs, though rare, necessitate prompt diagnosis and surgical treatment due to rupture risk.
  • Durable outcomes in pediatric vascular reconstruction depend on appropriate graft selection and anticipating somatic growth.
  • Further multicenter studies are required to establish standardized management protocols for pediatric AAIAs.
Abstract

Keywords:
Abdominal aortic aneurysmCongenitalIliac aneurysmPediatricsVascular surgical procedures

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