Arterial aneurysms in children: Clinicopathologic classification

Sarkar, Rajabrata; Coran, Arnold G.; Cilley, Robert E.; Lindenauer, S. Martin; Stanley, James C.

doi:10.1016/0741-5214(91)90011-i

Cited by 138 publications

(106 citation statements)

References 62 publications

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“…Poor hand perfusion without the ulnar artery system necessitated reconstruction. Reconstruction regardless of hand perfusion without the ulnar artery has been suggested as a method to mitigate potential complications in a hand dependent on the radial artery system (3,4). Different methods of reconstruction have been reported, but none have been shown to be more or less favourable.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, Kawasaki and Marfan's syndromes have been implicated in ulnar artery aneurysm cases, but not in children younger than 10 years of age (4,5).…”

Section: Discussionmentioning

confidence: 99%

“…True aneurysms are thought to arise from processes associated with Kawasaki, Marfan's or Ehlers-Danlos syndromes that damage or weaken the arterial wall (4).…”

Section: Discussionmentioning

confidence: 99%

“…Pseudoaneurysms are suspected to arise from traumatic or extravascular events that weaken or damage the arterial wall (4,6). These events can range from venipucture to tumoral growth that interferes with the integrity of the arterial wall (6).…”

Section: Discussionmentioning

confidence: 99%

“…The lesion was not determined to occlude the ulnar artery, and an angiographic arteriogram was to be performed to determine both the characteristics of the lesion and whether repair of the ulnar artery was necessary after excision of the aneurysm. Consultation with a geneticist was also elected to investigate possible clinically important congenital or connective tissue disorders such as Kawasaki, Marfan's or Ehlers-Danlos syndromes because they have been implicated in the development of ulnar artery aneurysms (4,5). Based on meeting with the geneticist, the patient was determined to have no connective tissue disorders.…”

Section: Case Presentationmentioning

confidence: 99%

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Diagnosis and excision of an ulnar artery aneurysm in a two-year-old boy

2010

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U lnar artery aneurysms are exceedingly rare in children younger than 10 years of age, with fewer than 10 cases reported worldwide. Secondary to their rarity, the etiology of these lesions is not yet understood. Ulnar artery aneurysms have been characterized in the adult population, usually occurring secondary to occupationally acquired, repetitive stress disorders such as hypothenar hammer syndrome (1-3). The present case report describes the course of treatment for an ulnar aneurysm in the wrist of a two-year-old boy, along with a brief review of the existing literature detailing other approaches to management. CASE prESEntAtionA two-year-old boy presented with a bump on the left arm, which was noticed by the mother during a trip to the emergency room for suspected trauma to the wrist. The mass was originally believed to be a ganglion cyst. It was not known whether the mass had changed in size between the time of discovery and the time of visit to the office. Apart from the visit to the emergency room, the patient's medical history involved a case of omphalitis at 21 days and a frenectomy for tongue-tie at 1.5 months of age, with no history of arterial line placement. The patient's family history of similar lesions was negative.Ultrasound characterized the mass as an ovoid lesion, with the possibility of being a large pseudoaneurysm of the ulnar artery.On physical examination in the office, the mass on the left wrist appeared to be a ganglion cyst. Neither bruit nor thrill were noted, and neurovascularity was normal. No finger ischemia was noted.Magnetic resonance angiography identified the mass on the volar aspect of the left wrist to be a large pseudoaneurysm of the distal ulnar artery just anterior to the wrist. The dimensions were approximately 1.8 cm in length by 1.0 cm in width by 1.2 cm in height. Heterogeneous signal intensities with hyperdense elements on T1 were suggestive of thrombus. No arteriovenous malformations were noted. Magnetic resonance imaging suggested a true aneurysm with thrombosis. The lesion was not determined to occlude the ulnar artery, and an angiographic arteriogram was to be performed to determine both the characteristics of the lesion and whether repair of the ulnar artery was necessary after excision of the aneurysm. Consultation with a geneticist was also elected to investigate possible clinically important congenital or connective tissue disorders such as Kawasaki, Marfan's or Ehlers-Danlos syndromes because they have been implicated in the development of ulnar artery aneurysms (4,5). Based on meeting with the geneticist, the patient was determined to have no connective tissue disorders.Intraoperative arteriogram, 16 days after the magnetic resonance imaging/magnetic resonance angiography, noted that the ulnar artery was completely occluded (Figure 1). No contrast entered the lesion itself and no emboli were noted. A long gap between the end of contrast and the level of the wrist was case report ©2010 Pulsus Group Inc. All rights reserved i Amjad, t Murphy, E Zahn. Diagnosis ...

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Section: Discussionmentioning

confidence: 99%

“…In particular, Kawasaki and Marfan's syndromes have been implicated in ulnar artery aneurysm cases, but not in children younger than 10 years of age (4,5).…”

Section: Discussionmentioning

confidence: 99%

“…True aneurysms are thought to arise from processes associated with Kawasaki, Marfan's or Ehlers-Danlos syndromes that damage or weaken the arterial wall (4).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

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Diagnosis and excision of an ulnar artery aneurysm in a two-year-old boy

2010

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Prenatal Ultrasound Diagnosis of Abdominal Aortic Aneurysm With Fibrotic Occlusion in Aortic Branch Vessels

et al. 1997

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In a 35‐year‐old multiparous patient, an ultrasound scan performed at 32 weeks' gestational age for size less than dates revealed an appropriately grown fetus with a two‐vessel umbilical cord. Also noted were dilated, tortuous abdominal and pelvic vessels. A scan at 33·5 weeks confirmed the two‐vessel cord and noted a widely dilated abdominal aorta and a left foot 2 cm shorter than the right. Delivery at 36 weeks was followed by a neonatal course complicated by thromboses, renovascular hypertension, and a newly patent ductus with pulmonary hypertension. Successful ligation was followed by acute pulmonary hypertension, cardiac dysfunction and death. Autopsy findings included aneurysmal dilation of the abdominal aorta without evidence of arterial wall pathology. © 1997 John Wiley & Sons, Ltd.

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Familial Bainbridge‐Ropers syndrome: Report of familial ASXL3 inheritance and a milder phenotype

Schirwani

Woods

Koolen

et al. 2022

American J of Med Genetics Pt A

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De novo truncating and splicing pathogenic variants in the Additional Sex Combs‐Like 3 (ASXL3) gene are known to cause neurodevelopmental delay, intellectual disability, behavioral difficulties, hypotonia, feeding problems and characteristic facial features. We previously reported 45 patients with ASXL3‐related disorder including three individuals with a familial variant. Here we report the detailed clinical and molecular characteristics of these three families with inherited ASXL3‐related disorder. First, a father and son with c.2791_2792del p.Gln931fs pathogenic variant. The second, a mother, daughter and son with c.4534C > T, p.Gln1512Ter pathogenic variant. The third, a mother and her daughter with c.4441dup, p.Leu1481fs maternally inherited pathogenic variant. This report demonstrates intrafamilial phenotypic heterogeneity and confirms heritability of ASXL3‐related disorder.

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Arterial aneurysms in children: Clinicopathologic classification

Cited by 138 publications

References 62 publications

Diagnosis and excision of an ulnar artery aneurysm in a two-year-old boy

Diagnosis and excision of an ulnar artery aneurysm in a two-year-old boy

Prenatal Ultrasound Diagnosis of Abdominal Aortic Aneurysm With Fibrotic Occlusion in Aortic Branch Vessels

Familial Bainbridge‐Ropers syndrome: Report of familial ASXL3 inheritance and a milder phenotype

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