“…Our patient was hypertensive, and the extent of the aneurysm and small size of the splanchnic vessels made repair impractical. This further highlights that although prenatal diagnosis of AAAs is helpful in identifying patients who may benefit from early operative intervention, 4,8,11,16 vascular anatomy may preclude such intervention.…”
Section: Discussionmentioning
confidence: 93%
“…1 Primary congenital AAA is very uncommon, with only 15 such aneurysms diagnosed in infancy having been reported thus far. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The paucity of reported cases precludes a standardized approach to management of these aneurysms. Although repair has been successful in several patients, 2,8,10,[12][13][14][15] aneurysm extent and anatomy often prohibit repair in neonates.…”
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.
“…Our patient was hypertensive, and the extent of the aneurysm and small size of the splanchnic vessels made repair impractical. This further highlights that although prenatal diagnosis of AAAs is helpful in identifying patients who may benefit from early operative intervention, 4,8,11,16 vascular anatomy may preclude such intervention.…”
Section: Discussionmentioning
confidence: 93%
“…1 Primary congenital AAA is very uncommon, with only 15 such aneurysms diagnosed in infancy having been reported thus far. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The paucity of reported cases precludes a standardized approach to management of these aneurysms. Although repair has been successful in several patients, 2,8,10,[12][13][14][15] aneurysm extent and anatomy often prohibit repair in neonates.…”
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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