Pediatric Vascular Surgery Review with a 30-Year-Experience in a Tertiary Referral Center

Abstract

Pediatric vascular disease is rare, and remains a big challenge to vascular surgeons. In contrast to adults, surgery for pediatric vascular disease is complicated by issues related to small size, future growth, and availability of suitable vascular conduit. During the last 30 years, 131 major vascular operations were performed in a tertiary referral center, Seoul National University Hospital, including aortoiliac aneurysm, acute or chronic arterial occlusion, renovascular hypertension, portal venous hypertension, trauma, tumor invasion to major abdominal vessels, and others. Herein we review on the important pediatric vascular diseases and share our clinical experiences on these rare diseases.

Acquired Saccular Abdominal Aortic Aneurysm in a 10-Year-Old Child: A Case Report and Literature Review

“…The conservative approach mainly consists of medications such as statin and beta-blockers in addition to frequent follow-ups with the US. Different from the adult, the pediatric age group poses a challenge in surgical management which is mainly due to the relative size of the child and the availability of suitable vascular conduits [ 12 ]. There are two types of surgical repair, which include: the open surgical approach and the endovascular approach.…”

Reconstructive vascular surgery in pediatric oncology: literature review

“…Min et al демонстрируют опыт проведения крупных операций на сосудах у детей, выполненных в больнице Сеульского национального универси тета, за 30 лет работы прооперирован 131 ребенок [24]. В представленной статье сообщается о 4 случа ях опухолевого тромба в НПВ, в 3 из них выполнена тромбэктомия, и в 1 случае потребовалась резекция НПВ и ее замещение трансплантатом [24]. Результа тов наблюдения после лечения не представлено.…”

Focal Aortic Dissection With Significant Stenosis: A Rare Long Term Complication After TEVAR for Blunt Traumatic Aortic Injury in an Adolescent Patient

“… 3 , 4 Furthermore, children are susceptible to anatomical changes in the long term as they grow older and current devices might not be compatible with these changes. 6 …”