Idiopathic aneurysm of the common iliac artery in an 11-year-old child.
Arterial aneurysms are very rare in children, and aneurysms with an idiopathic etiology have been reported in only a few cases. In most cases, aneurysms are caused by infection, arteritides, collagen vascular disease, vascular malformations, or trauma. We report the case of an 11-year-old girl with an idiopathic and symptomatic left common iliac artery aneurysm. The aneurysm was resected and replaced by a reversed femoral vein. Because the external iliac artery was atrophied, an additional bypass with a reversed great saphenous vein was made. In the postoperative work-up, no etiologic cause could be found for the development of the aneurysm. The symptoms immediately subsided after the operation.
Zimmermann
Alexander
A
Clinic of Vascular Surgery, Klinikum rechts der Isar, Technische Universität München, Munich, Germany. dr.zimmermann@lrz.tum.de
Kuehnl
Andreas
A
Seidl
Stefan
S
Eckstein
Hans-Henning
HH
D001284:Atrophy; D002114:Calcinosis / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D005268:Femoral Vein / Q000637:transplantation*; D006801:Humans; D017543:Iliac Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007083:Iliac Artery / Q000473:pathology / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D012307:Risk Factors; D012501:Saphenous Vein / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures