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

Annie Le-Nguyen*
1  Department of Surgery, Division of General Surgery, Saint Justine Hospital, Montreal, Quebec, Canada
,
Shahrzad Joharifard*
2  Department of Surgery, Division of Pediatric Surgery, Saint Justine Hospital, Montreal, Quebec, Canada
,
Geneviève Côté
3  Department of Anesthesiology, Saint Justine Hospital, Montreal, Quebec, Canada
,
Daniel Borsuk
4  Department of Surgery, Division of Plastic Surgery, Saint Justine Hospital, Montreal, Quebec, Canada
,
Rafik Ghali
5  Department of Surgery, Division of Vascular Surgery, Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada
,
Michel Lallier
2  Department of Surgery, Division of Pediatric Surgery, Saint Justine Hospital, Montreal, Quebec, Canada
› Author Affiliations

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.

* Both authors contributed equally to the manuscript.




Publication History

Received: 12 May 2020

Accepted: 18 August 2020

Publication Date:
03 March 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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