Open repair of an abdominal aortic and right common iliac artery aneurysm with idiopathic retroperitoneal fibrosis in a 19-month-old infant

Khalil Chamseddin, MD; Antonio Solano, MD; Melissa R. Keller, MD; Michael C. Siah, MD; Gerardo Gonzalez-Guardiola, MD; Vivek Prakash, MD; Michael Shih, MD; M. Shadman Baig, MD; Carlos H. Timaran, MD; Melissa L. Kirkwood, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Aug 2024)

Open repair of an abdominal aortic and right common iliac artery aneurysm with idiopathic retroperitoneal fibrosis in a 19-month-old infant

Khalil Chamseddin, MD,
Antonio Solano, MD,
Melissa R. Keller, MD,
Michael C. Siah, MD,
Gerardo Gonzalez-Guardiola, MD,
Vivek Prakash, MD,
Michael Shih, MD,
M. Shadman Baig, MD,
Carlos H. Timaran, MD,
Melissa L. Kirkwood, MD

Affiliations

Khalil Chamseddin, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Antonio Solano, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Melissa R. Keller, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Michael C. Siah, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Gerardo Gonzalez-Guardiola, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Vivek Prakash, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Michael Shih, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
M. Shadman Baig, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Carlos H. Timaran, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Melissa L. Kirkwood, MD: Correspondence: Melissa L. Kirkwood, MD, Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Professional Office Building 1, Ste 620, 5959 Harry Hines Blvd, Dallas, TX 75390-9157; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX

Journal volume & issue: Vol. 10, no. 4
p. 101513

Abstract

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An abdominal aortic aneurysm (AAA) in children is a rare clinical condition, with idiopathic AAAs even more atypical. We report a case of a 19-month-old girl with incidental findings of an infrarenal AAA and right common iliac artery aneurysm during workup for heart failure. Extensive genetic testing was unremarkable for connective tissue disorders. An aortic bi-iliac artery bypass with a Dacron graft from the infrarenal aorta to the right external iliac artery and left common iliac artery was performed. The patient achieved complete recovery and only required one oral hypertensive medication at 30 days of follow-up. Wide patency of the graft was observed on the 3-month follow-up computed tomography angiogram.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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