Work

Primary congenital abdominal aortic aneurysm associated with renovascular hypertension in pediatric patient

Year: 2024

Type: article

Abstract: Idiopathic congenital abdominal aortic aneurysm (AAA) is rare, with only a few cases reported in the literature. We present a case of a 3-year-old girl with a fusiform AAA measuring 19 mm in segments 4 and 5, associated with renal artery stenosis and severe hypertension. She was treated with three antihypertensive medications. Initially, left nephrectomy was performed due to the persistence of hypertension. Subsequently, we conducted a hepatorenal bypass and open surgical repair of the AAA via left thoracolumbar approach. At the 4-year follow-up, there were no complications. Pediatric CAAA is very rare. Case-by-case discussion and management are essential; the open approach with synthetic grafts is the gold standard and has resulted in good outcomes.

Source: Future Cardiology

DOI: 10.1080/14796678.2024.2414612

Authors: Emad M Al-Osail, Caroline Rousset-Rouviere, Philippe Piquet, Marine Gaudry

Institution: Hôpital de la Timone

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W4404745274