Extensive congenital abdominal aortic aneurysm and renovascular disease in the neonate
Primary congenital abdominal aortic aneurysm is an extremely rare entity, with only 15 patients reported in the literature. Options for repair are often limited secondary to branch vessel size and other anatomic limitations. We present a neonate diagnosed with an abdominal aortic aneurysm on prenata...
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| Published in | Journal of vascular surgery Vol. 55; no. 6; pp. 1762 - 1765 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Mosby, Inc
01.06.2012
Elsevier |
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| Abstract | Primary congenital abdominal aortic aneurysm is an extremely rare entity, with only 15 patients reported in the literature. Options for repair are often limited secondary to branch vessel size and other anatomic limitations. We present a neonate diagnosed with an abdominal aortic aneurysm on prenatal ultrasound. A postpartum computed tomography angiogram revealed an extensive type IV thoracoabdominal aortic aneurysm extending to the aortic bifurcation and resulting in bilateral renal artery stenosis. The unique features of this patient and challenges in management are discussed. |
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| AbstractList | Primary congenital abdominal aortic aneurysm is an extremely rare entity, with only 15 patients reported in the literature. Options for repair are often limited secondary to branch vessel size and other anatomic limitations. We present a neonate diagnosed with an abdominal aortic aneurysm on prenatal ultrasound. A postpartum computed tomography angiogram revealed an extensive type IV thoracoabdominal aortic aneurysm extending to the aortic bifurcation and resulting in bilateral renal artery stenosis. The unique features of this patient and challenges in management are discussed. |
| Author | Ricca, Robert, MD Johansen, Kaj H., MD, PhD McAteer, Jarod, MD Goldin, Adam B., MD, MPH |
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| Cites_doi | 10.1159/000322403 10.1053/jpsu.2002.34491 10.1002/(SICI)1097-0223(199705)17:5<479::AID-PD75>3.0.CO;2-A 10.1016/0022-3468(91)91055-4 10.1016/S0741-5214(03)00146-0 10.1056/NEJM196705182762007 10.1007/s00247-004-1215-7 10.1053/jpsu.2001.26394 10.1016/j.jvs.2009.05.022 10.1053/jpsu.2001.22314 10.1016/j.jpedsurg.2005.10.086 10.1007/s00247-008-0956-0 10.1016/j.jpedsurg.2008.02.008 10.1067/mva.2003.213 10.1067/mva.2001.109739 10.1007/s00246-009-9531-1 10.1016/j.ejvs.2006.10.009 |
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| Keywords | Human Arterial disease Vascular disease Newborn Congenital Surgery Abdominal disease Cardiovascular disease Aortic aneurysm Aortic disease |
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| References_xml | – volume: 17 start-page: 479 year: 1997 end-page: 482 ident: bib11 article-title: Prenatal ultrasound diagnosis of abdominal aortic aneurysm with fibrotic occlusion in aortic branch vessels publication-title: Prenat Diagn contributor: fullname: Feit – volume: 21 start-page: 239 year: 2008 end-page: 244 ident: bib19 article-title: Inhibition of experimental abdominal aortic aneurysm progression by nifedipine publication-title: Int J Mol Med contributor: fullname: Ogihara – volume: 38 start-page: 1249 year: 2008 end-page: 1252 ident: bib8 article-title: Primary congenital abdominal aortic aneurysm: a case report with perinatal serial follow-up imaging publication-title: Pediatr Radiol contributor: fullname: Park – volume: 33 start-page: 401 year: 2007 end-page: 407 ident: bib17 article-title: Wall stress analysis in small asymptomatic, symptomatic and ruptured abdominal aortic aneurysms publication-title: Eur J Vasc Endovasc Surg contributor: fullname: Blankensteijn – 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abdominal aortic aneurysm in the infant: case report and review of the literature publication-title: J Pediatr Surg doi: 10.1053/jpsu.2001.22314 contributor: fullname: Mehall – volume: 41 start-page: 226 year: 2006 ident: 10.1016/j.jvs.2011.12.041_bib14 article-title: Aortoiliac reconstruction in infants and toddlers: replacement with decellularized branched pulmonary artery allograft publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2005.10.086 contributor: fullname: Meyers – volume: 38 start-page: 1249 year: 2008 ident: 10.1016/j.jvs.2011.12.041_bib8 article-title: Primary congenital abdominal aortic aneurysm: a case report with perinatal serial follow-up imaging publication-title: Pediatr Radiol doi: 10.1007/s00247-008-0956-0 contributor: fullname: Kim – volume: 43 start-page: 1361 year: 2008 ident: 10.1016/j.jvs.2011.12.041_bib3 article-title: Large neonatal thoracoabdominal aneurysm: case report and review of the literature publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2008.02.008 contributor: fullname: Buddingh – volume: 37 start-page: 724 year: 2003 ident: 10.1016/j.jvs.2011.12.041_bib18 article-title: Prediction of rupture risk in abdominal aortic aneurysm during observation: wall stress versus diameter publication-title: J Vasc Surg doi: 10.1067/mva.2003.213 contributor: fullname: Fillinger – volume: 33 start-page: 419 year: 2001 ident: 10.1016/j.jvs.2011.12.041_bib1 article-title: Aortic aneurysm resulting from umbilical artery catheterization: case report, literature review, and management algorithm publication-title: J Vasc Surg doi: 10.1067/mva.2001.109739 contributor: fullname: Mendeloff – volume: 21 start-page: 239 year: 2008 ident: 10.1016/j.jvs.2011.12.041_bib19 article-title: Inhibition of experimental abdominal aortic aneurysm progression by nifedipine publication-title: Int J Mol Med contributor: fullname: Tomita – volume: 31 start-page: 155 year: 2010 ident: 10.1016/j.jvs.2011.12.041_bib4 article-title: Prenatal diagnosis of abdominal aortic aneurysm publication-title: Pediatr Cardiol doi: 10.1007/s00246-009-9531-1 contributor: fullname: Cantinotti – volume: 33 start-page: 401 year: 2007 ident: 10.1016/j.jvs.2011.12.041_bib17 article-title: Wall stress analysis in small asymptomatic, symptomatic and ruptured abdominal aortic aneurysms publication-title: Eur J Vasc Endovasc Surg doi: 10.1016/j.ejvs.2006.10.009 contributor: fullname: Truijers |
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| SubjectTerms | Antihypertensive Agents - therapeutic use Aortic Aneurysm, Abdominal - congenital Aortic Aneurysm, Abdominal - diagnosis Aortic Aneurysm, Abdominal - drug therapy Aortic Aneurysm, Abdominal - physiopathology Aortic Aneurysm, Thoracic - congenital Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - drug therapy Aortic Aneurysm, Thoracic - physiopathology Aortic Rupture - etiology Aortography - methods Biological and medical sciences Blood and lymphatic vessels Blood Pressure Cardiology. Vascular system Diseases of the aorta Fatal Outcome Female Gestational Age Humans Hypertension, Renovascular - etiology Infant, Newborn Medical sciences Renal Artery Obstruction - congenital Renal Artery Obstruction - diagnosis Renal Artery Obstruction - drug therapy Renal Artery Obstruction - physiopathology Renal Circulation Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tomography, X-Ray Computed Ultrasonography, Prenatal Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| Title | Extensive congenital abdominal aortic aneurysm and renovascular disease in the neonate |
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