Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft

Annie Le-Nguyen; Shahrzad Joharifard; Geneviève Côté; Daniel Borsuk; Rafik Ghali; Michel Lallier

doi:10.1055/s-0041-1723019

European Journal of Pediatric Surgery Reports, Table of Contents

CC BY 4.0 · European J Pediatr Surg Rep. 2021; 09(01): e23-e27
DOI: 10.1055/s-0041-1723019

Case Report

Neonatal Microsurgical Repair of a Congenital Abdominal Aortic Aneurysm with a Cadaveric Graft

Authors

Annie Le-Nguyen^*

¹Department of Surgery, Division of General Surgery, Saint Justine Hospital, Montreal, Quebec, Canada
Shahrzad Joharifard‡^*

²Department of Surgery, Division of Pediatric Surgery, Saint Justine Hospital, Montreal, Quebec, Canada
Geneviève Côté

³Department of Anesthesiology, Saint Justine Hospital, Montreal, Quebec, Canada
Daniel Borsuk

⁴Department of Surgery, Division of Plastic Surgery, Saint Justine Hospital, Montreal, Quebec, Canada
Rafik Ghali

⁵Department of Surgery, Division of Vascular Surgery, Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada
Michel Lallier

²Department of Surgery, Division of Pediatric Surgery, Saint Justine Hospital, Montreal, Quebec, Canada

Abstract

Congenital abdominal aortic aneurysms (AAA) are an extremely rare entity. We present the case of a female fetus diagnosed with an AAA on routine prenatal ultrasound. A postnatal computed tomography angiogram revealed an infrarenal AAA with a narrow proximal neck. Surgery was performed on day of life 14 using a cadaveric femoral artery graft. The proximal anastomosis was performed under the microscope given the severity of the aortic stenosis and the proximity of the renal arteries. The patient's postoperative course was uneventful and she is developing normally 1 year after surgery. The graft remains permeable, albeit with evidence of proximal and distal stenosis and graft calcification on imaging.

Keywords

aortic aneurysm - abdominal - congenital - surgical repair - neonatal

Full Text

References

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