title: Extensive congenital abdominal aortic aneurysm and renovascular disease in the neonate.
abstract: Primary congenital abdominal aortic aneurysm is an extremely rare entity, with only 15 patients reported in the literature. Options for repair are often limited secondary to branch vessel size and other anatomic limitations. We present a neonate diagnosed with an abdominal aortic aneurysm on prenatal ultrasound. A postpartum computed tomography angiogram revealed an extensive type IV thoracoabdominal aortic aneurysm extending to the aortic bifurcation and resulting in bilateral renal artery stenosis. The unique features of this patient and challenges in management are discussed.
authors.affiliation: Department of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, Seattle, WA 98105, USA. jarodmc@u.washington.edu
authors.forename: Jarod
authors.initials: J
authors.lastname: McAteer
authors.forename: Robert
authors.initials: R
authors.lastname: Ricca
authors.forename: Kaj H
authors.initials: KH
authors.lastname: Johansen
authors.forename: Adam B
authors.initials: AB
authors.lastname: Goldin
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000151:congenital* / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D017545:Aortic Aneurysm, Thoracic / Q000151:congenital* / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D001019:Aortic Rupture / Q000209:etiology; D001027:Aortography / Q000379:methods; D001794:Blood Pressure; D017809:Fatal Outcome; D005260:Female; D005865:Gestational Age; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology; D007231:Infant, Newborn; D012078:Renal Artery Obstruction / Q000151:congenital* / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D012079:Renal Circulation; D014057:Tomography, X-Ray Computed; D016216:Ultrasonography, Prenatal
chemical_list: D000959:Antihypertensive Agents