Open repair of an abdominal aortic and right common iliac artery aneurysm with idiopathic retroperitoneal fibrosis in a 19-month-old infant

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Abstract

An abdominal aortic aneurysm (AAA) in children is a rare clinical condition, with idiopathic AAAs even more atypical. We report a case of a 19-month-old girl with incidental findings of an infrarenal AAA and right common iliac artery aneurysm during workup for heart failure. Extensive genetic testing was unremarkable for connective tissue disorders. An aortic bi-iliac artery bypass with a Dacron graft from the infrarenal aorta to the right external iliac artery and left common iliac artery was performed. The patient achieved complete recovery and only required one oral hypertensive medication at 30 days of follow-up. Wide patency of the graft was observed on the 3-month follow-up computed tomography angiogram.

Original languageEnglish (US)
Article number101513
JournalJournal of Vascular Surgery Cases, Innovations and Techniques
Volume10
Issue number4
DOIs
StatePublished - Aug 2024

Keywords

  • Abdominal aortic aneurysm
  • Aortic disease
  • Congenital
  • Pediatric aneurysms
  • Pediatric vascular surgery
  • Surgical repair

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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