Aneurysm of the abdominal aorta in an eighteen-month-old child.
We report the case of an infected aneurysm of the abdominal aorta in a 18 month-old child, discovered by routine palpation of the abdomen during hospitalization for pneumonia. Ultrasonography and arteriography showed a 6 cm aneurysm of the abdominal aorta beginning distal to the renal arteries which occluded the right common iliac artery. The aneurysm was treated by interposing a 6 mm Gore-Tex graft between the infrarenal aorta and the aortic bifurcation. Pathologic examination of the aneurysmal wall demonstrated a leukocytic infiltrate and the presence of encapsulated Gram positive organisms. Arterial aneurysms are exceedingly rare in children. Their etiology is varied: infection, connective tissue disease, trauma, inflammatory arterial disease or other rare diseases such as tuberous sclerosis, neurofibromatosis, or Behçet's disease.
Defraigne
J O
JO
Department of Cardiovascular Surgery, Centre Hospitalier Universitaire de Liège, Hôpital de Bavière, Liège, Belgium.
Paquot
J P
JP
Creemers
E
E
Limet
R
R
D000785:Aneurysm, Infected / Q000601:surgery*; D001012:Aorta, Abdominal / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000209:etiology; D013290:Streptococcal Infections / Q000601:surgery*