Surgery of the abdominal aorta and its branches in children: Late follow-up

Abstract

Late results of abdominal aortic surgery in children, in our experience, are encouraging. Quality of life in adulthood was excellent. Insofar as possible, correction should be deferred until the child is 8 to 10 years old so that a prosthesis of sufficient diameter can be used.

Mycotic Saccular Abdominal Aortic Aneurysm in an Infant after Cardiac Catheterization: A Case Report

“…9 There are a wide variety of congenital and acquired lesions that affect the pediatric aorta, including aneurysmal disease, inflammatory lesions, aortic hypoplasia, and midaortic syndrome. 9,10 Aneurysmal disease of the abdominal aorta itself is varied in etiology, and aside from purely congenital AAA as reported first by Howorth, 1 there has been an association of pediatric AAA with coarctation, valvular disease, umbilical artery catheterization, trauma, connective tissue disorders, infection, autoimmune diseases, Kawasaki disease, and tuberous sclerosis. 11 Mycotic (infectious) aneurysmal disease of the aorta itself remains rare, accounting for approximately 2.6% of aneurysmal disease in all ages.…”

Long-Term Complications in Two Patients After Aortoaortic Bypass for Midaortic Syndrome

“…For longer-segment hypoplasia, aortoaortic bypass decreases the long-term risk of false aneurysm compared with patch aortoplasty. 5 It also allows preservation of side branches that originate from the narrowed segment.…”

“…5 Axial skeletal growth is thought to be minimal after 10 years of age, thus the ongoing recommendation to delay repair if possible until that time. Use of an end-to-side aortoaortic bypass and oversizing the length of the bypass are thought to be key in compensating for growth.…”

“…Use of an end-to-side aortoaortic bypass and oversizing the length of the bypass are thought to be key in compensating for growth. 5 Oversizing the diameter may also prevent functional stenosis related to an undersized graft that has become too small relative to a grown patient. Stanley et al 6 suggested using a conduit 60% to 70% of the size of the patient's adult aorta.…”

Renovascular hypertension: results in adulthood of renal autotransplantation performed in children—response to comments by Della Schiava and Lermusiaux

“…No claudication, no impotence, and no miscarriages have been observed in adults operated on during their childhood. We analyzed these points in a previous article [3] published in 2006. It should also be noted that all such analyses reported in the literature go in this direction.…”