Abdominal aortic aneurysms in children

Millar, A. J. W.; Gilbert, Rodney D.; Brown, Richard N; Immelman, E. J.; Burkimsher, D.; Cywes, S.

doi:10.1016/s0022-3468(96)90034-2

Cited by 57 publications

(51 citation statements)

References 12 publications

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“…Management strategies need to be individualised and may be successful without surgical intervention [17]. Our high initial success rate with PTA is a promising alternative, even if it is only a temporary measure.…”

Section: Treatmentmentioning

confidence: 99%

Angiographic features of 26 children with Takayasu's arteritis

et al. 2003

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The most consistent finding was stenosis of the aorta. Marginal irregularity/undulation of the aorta was also a useful angiographic diagnostic feature in subtle disease. The incidence of aneurysms was high compared to other studies and both fusiform and saccular aneurysms were encountered. Percutaneous transluminal angioplasty (PTA) was successful in all eight patients in whom it was performed. MRI, CT angiography and US are discussed as less invasive imaging alternatives. TA is a significant cause of renovascular hypertension in children in South Africa where there is a high incidence of tuberculous infection. Knowledge of the angiographic features and pattern of aortic involvement is essential for diagnosis and initiation of early and appropriate treatment, including PTA.

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Section: Treatmentmentioning

confidence: 99%

Angiographic features of 26 children with Takayasu's arteritis

et al. 2003

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“…2,6,7 It should be noted, however, that in many cases of children with prior bacteremia and a diagnosis of mycotic aneurysm, Gram stain and culture of the excised segment has shown no growth, owing in all likelihood to prior administration of antibiotics. 8,15,16 The pathogenesis of mycotic aortic aneurysmal disease is suspected to involve damage to the aortic luminal lining, which provides a surface that can be receptive to seeding by bacterial microemboli. In adults, sites such as ulcerated atherosclerotic plaque may be more susceptible to bacterial seeding.…”

Section: Discussionmentioning

confidence: 99%

“…Deciding on timing of the repair is difficult, as one must balance the risk of rupture with the risk of reinfection and breakdown of the repair. 2,8,10,15,18 Endovascular approaches with stent grafting of the affected segment do not have an obvious role in pediatric AAA given the presumed high odds of prosthetic reinfection, the requirement for frequent serial imaging with its attendant radiation doses, and the inability of devices to expand with growth. Stent grafting may be appealing in extreme cases where a profoundly ill patient cannot tolerate surgery or as a bridge to later definitive open repair.…”

Section: Discussionmentioning

confidence: 99%

Mycotic Saccular Abdominal Aortic Aneurysm in an Infant after Cardiac Catheterization: A Case Report

Benrashid

McCoy

Rice

et al. 2015

Annals of Vascular Surgery

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“…These infants should have their UACs removed, appropriate antibiotics started, and be followed serially with ultrasound to monitor for the development of aortic aneurysms. If hypertension develops, it needs to be adequately controlled, since it may lead to expansion of existing aneurysms, 8 and increased risk for rupture. Since the extent of aortic damage and the amount of arterial reaction to injury seem to correlate with the duration of UAC placement, prompt removal of catheters, when feasible, is advocated to prevent complications.…”

Section: Discussionmentioning

confidence: 99%