Treatment of abdominal aortic pseudoaneurysm with covered stents in a pediatric patient

Khan, Muhammad; Moore, John W.

doi:10.1002/1522-726x(200008)50:4<445::aid-ccd17>3.0.co;2-1

Cited by 32 publications

(19 citation statements)

References 8 publications

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“…Thoracic atherosclerotic aneurysms and infrarenal aortic aneurysms in adults have been managed with insertion of stent grafts since the early 1990s (28,29), whereas treatment of an abdominal aortic pseudoaneurysm with covered stents in a pediatric patient was first reported in 2000 in an adolescent girl with neurofibromatosis and abdominal CoA (30).…”

Section: Discussionmentioning

confidence: 99%

Covered Cheatham-Platinum Stents for Aortic Coarctation

Tzifa

Ewert

Brzezińska‐Rajszys

et al. 2006

Journal of the American College of Cardiology

160

126

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Section: Discussionmentioning

confidence: 99%

Covered Cheatham-Platinum Stents for Aortic Coarctation

Tzifa

Ewert

Brzezińska‐Rajszys

et al. 2006

Journal of the American College of Cardiology

160

126

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“…[22, 28] Stent placement was considered for residual significant stenosis (therapeutic stent) or vascular trauma (salvage stent). A single investigator measured lumen diameter before and after intervention.…”

Section: Methodsmentioning

confidence: 99%

Midaortic syndrome: 30 years of experience with medical, endovascular and surgical management

et al. 2013

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Background Midaortic syndrome is often associated with refractory hypertension. Our aim was to better understand the short and medium-term outcomes in this patient population utilizing a multidisciplinary management approach. Methods We conducted a review of patients with midaortic syndrome treated at our institution over the past 30 years. Results Fifty-three patients presented at a median age of 6.7 (birth – 28.7) years. Thirty-five patients (66%) underwent invasive management (percutaneous techniques: 21; surgical techniques: 5; both: 9). Percutaneous interventions were acutely successful in decreasing the gradient across the obstruction and degree of luminal stenosis. However, freedom from reintervention was 58% at 1 year and 33% at 5 years. Freedom from reintervention after a surgical procedure was longer: 83% at 1 year and 72% at 10 years. At most recent follow-up, the majority of patients (69%) were normotensive. The median duration between time of presentation and achievement of blood pressure control was 5.7 (0.4 – 21.1) years. The median number of anti-hypertensive medications was 1 (0 – 5). Conclusions A multidisciplinary management strategy, which couples comprehensive medical management with catheter-based and surgical interventions, can lead to adequate blood pressure control and preservation of end-organ function in patients with midaortic syndrome.

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“…Use of prosthetic grafts, especially in newborns, raises the potential risk of mismatching between the graft diameter that is fixed and native vessel diameter that is growing. 17 Despite the longterm risk of false aneurysm, 19 prosthetic grafts are widely used in pediatric vascular surgery. Use of standard cryopreserved allografts is not recommended because they induce an immunologic response that has been linked to a high incidence of fibrosis, calcification, and degradation.…”

Section: Discussionmentioning

confidence: 99%

Anatomical repair of a congenital aneurysm of the distal abdominal aorta in a newborn

Malikov¹,

Faïs²,

Keshelava³

2009

Journal of Vascular Surgery

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Congenital (primary) neonatal abdominal aortic aneurysm (AAA) is an extremely rare truncular arterial abnormality among numerous congenital vascular malformations. Only seven cases have been reported as congenital origin in newborns. This report presents the case of a male infant in whom a 33-mm congenital AAA was diagnosed prenatally and was successfully treated 10 days after birth without exogenous graft material or aneurysmorrhaphy. Follow-up study at 39 months demonstrated excellent clinical, ultrasound scan, and computed tomography scan findings. Anatomic reconstruction with native vessels is the preferred surgical technique to ensure the child's potential for harmonious growth.

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Treatment of abdominal aortic pseudoaneurysm with covered stents in a pediatric patient

Abstract: An occasional complication of redilating stents placed in children is false aneurysm. We report the use of covered stents to treat a false aneurysm of the abdominal aorta in an adolescent girl with neurofibromatosis and abdominal coarctation of the aorta.

Cited by 32 publications

References 8 publications

Covered Cheatham-Platinum Stents for Aortic Coarctation

Covered Cheatham-Platinum Stents for Aortic Coarctation

Midaortic syndrome: 30 years of experience with medical, endovascular and surgical management

Anatomical repair of a congenital aneurysm of the distal abdominal aorta in a newborn

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