Arterial reconstructions for pediatric splanchnic artery occlusive disease

Abstract

Pediatric splanchnic artery occlusive lesions are often associated with developmental aortic and renal artery occlusive disease. Carefully conducted therapeutic and prophylactic reconstructive procedures are appropriate in children having splanchnic arterial occlusive disease.

Superior Mesenteric Artery Stenosis Due to Disseminated Tuberculosis in a Pediatric Patient

“…Data on SMA revascularization in children are limited and is predominantly limited to patients with congenital lesions such as abdominal aortic coarctation. 1 Treatment is indicated in symptomatic cases as well as in asymptomatic children undergoing major aortic or renal reconstruction for coarctation or renal artery stenosis. Endovascular treatment of splanchnic stenosis is not recommended in either pediatric patients or in patients with TA due to a high recurrence rate.…”

“…Endovascular treatment of splanchnic stenosis is not recommended in either pediatric patients or in patients with TA due to a high recurrence rate. 1,14 Open reconstruction has shown higher durable patency rates in pediatric patients, with secondary revascularization for stenosis or occlusion more frequently required in initially symptomatic patients and those younger than 5 years old at presentation. 1 This patient is asymptomatic, with rapid weight gain after TB therapy and no history of food fear.…”

“…1,14 Open reconstruction has shown higher durable patency rates in pediatric patients, with secondary revascularization for stenosis or occlusion more frequently required in initially symptomatic patients and those younger than 5 years old at presentation. 1 This patient is asymptomatic, with rapid weight gain after TB therapy and no history of food fear. As there are no other conditions requiring aortic reconstruction, intervention is not currently indicated.…”

“…P ediatric splanchnic vessel stenosis is very rare, and typically results from a congenital aortic anomaly such as abdominal aortic coarctation or in conjunction with renal artery stenosis. 1,2 Although vasculitis of the splanchnic vessels resulting in stenosis is an uncommon but well described condition in adults, there are only a few reports in the pediatric literature. [2][3][4][5][6][7] We present a pediatric patient with superior mesenteric artery (SMA) stenosis due to disseminated Mycobacterium tuberculosis.…”