Dissecting aneurysm in childhood

Strauss, Ronald G.; McAdams, A. James

doi:10.1016/s0022-3476(70)80408-5

Cited by 22 publications

(4 citation statements)

References 23 publications

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“…11,15,16 Some reports have indicated that congenital cardiovascular anomalies are the most common predisposing conditions for acute aortic dissection occurring in the pediatric population. 5 Traumatic aortic dissections are usually stated to be very rare. Although causative and associated factors have been well enumerated for pediatric cases, their relative contribution to total causation in this population is speculative because of small sample size.…”

Section: Introductionmentioning

confidence: 99%

Aortic Dissection in Childhood and Adolescence: An Analysis of Occurrences Over a 10‐Year Interval in New York State

Fikar

2009

Clinical Cardiology

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BackgroundRarely occurring in the pediatric and adolescent population, aortic dissection is a condition with many predisposing factors. Previous studies have suggested that congenital cardiovascular disorders are the most common predisposing conditions. Trauma‐associated aortic dissection is considered a rare occurrence.MethodsThe Statewide Planning and Research Cooperative System database of New York State was used to retrieve cases of aortic dissection in persons ≤ 21 years old over a 10‐year period. A retrospective analysis for risk or associated conditions was undertaken.ResultsForty‐five of a total of 12 142 cases of aortic dissection (0.37%) occurred in persons ≤ 21 years old. No patient was younger than 15 years of age. Six of the 45 died (13%). Most patients were male (37 of 45, or 82%). Contrary to previous reports, the most common associated condition was trauma (19 of 45, or 42%), with Marfan syndrome the second most common (11 of 45, or 24%). Ten of 45 adolescent and young adult patients (22%) had no apparent risk factors.ConclusionsTraumatic aortic disruptions must be considered in children and adolescents who survive serious chest trauma. Family members of pediatric and young adult patients with trauma‐associated aortic dissection may need to be evaluated for possible risk of aortic dissection. Copyright © 2009 Wiley Periodicals, Inc.

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Section: Introductionmentioning

confidence: 99%

Aortic Dissection in Childhood and Adolescence: An Analysis of Occurrences Over a 10‐Year Interval in New York State

Fikar

2009

Clinical Cardiology

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“…Aortic dissection associated with atherosclerosis, commonly seen in adults, is rarely found in children (1.5% of all dissections occurred in children 10-20 years of age) [8,13].…”

Section: Discussionmentioning

confidence: 99%

Saccular aortic aneurysm in an asymptomatic child

et al. 1984

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“…Cardiovascular Lesions: The following cardiovascular lesions are associated with DAA: coarctation of the aorta9, 13,19,29,39 (some associated with Turner's syndrome 40), pseudocoarctation,4° patent ductus arteriosus, 9, 13, 39 hypoplastic aorta 9, 39 aortic stenosis and insufficiency '39, 41 bicuspid aortic valve, 9, 13.29,39 subaortic stenosis,39 patent foramen ovale, 13, 39 atrial septal defect,9. 39 and tricuspid valve abnormality.9, 13 Virtually all reported dissections associated with cardiovascular lesions occur in the ascending aorta and arch.…”

Section: Predisposing Factorsmentioning

confidence: 99%

“…Cases of suppurative bacterial aortitis with DAA are found in the literature. 19 Cases of Type II DAA following rheumatic fever 39, 411 and cases of DAA due to giant cell arteritis 15 have also been reported. Finally, an article in the Japanese literature reports a case of DAA in a patient with Takayasu's arteritis.4s…”

Section: Predisposing Factorsmentioning

confidence: 99%

Factors Predisposing to Development of Dissecting Aneurysm of the Aorta

Michal

Jaffe

1978

Vascular Surgery

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Eighteen cases of dissecting aneurysm of the aorta are presented to illustrate the factors predisposing to this process. These factors, which include hypertension, arteriosclerosis, trauma, cardiovascular lesions, connective tissue diseases, inflammation, and pregnancy, cause disruption of the media of the aortic wall through abnormal hemodynamics, inherent defects in the aortic wall, or insult to a normal aortic wall. There was a close correlation between the predisposing factor and the type of dissection (ascending, descending, or dissection of the entire aorta). Distinctive radiographic and angiographic features of some of these predisposing factors are reviewed to aid the radiologist in the diagnosis.

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Dissecting aneurysm in childhood

Cited by 22 publications

References 23 publications

Aortic Dissection in Childhood and Adolescence: An Analysis of Occurrences Over a 10‐Year Interval in New York State

Aortic Dissection in Childhood and Adolescence: An Analysis of Occurrences Over a 10‐Year Interval in New York State

Saccular aortic aneurysm in an asymptomatic child

Factors Predisposing to Development of Dissecting Aneurysm of the Aorta

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