title: Endovascular treatment of a congenital thoracic aortic aneurysm in a premature newborn.
abstract: Congenital aortic aneurysms are a rare, life-threatening disorder that present complex treatment challenges. The authors describe a congenital thoracic aortic aneurysm treated by endovascular means with stent-assisted coil deployment. Because of rapid in utero aneurysm growth and cardiac dysfunction, a 2.6-kg male was delivered expeditiously by Cesarean section at 35(2)/(7) weeks' gestation. On day of life 1, bilateral femoral arterial access was used to deliver a balloon-expandable stent across the wide-necked aneurysm. Microcoil embolization of the aneurysm via a prepositioned microcatheter was then performed. The child had an uncomplicated hospital course and is asymptomatic 5 months later, with complete aneurysm thrombosis.
authors.affiliation: Department of Radiology, Naval Medical Center, San Diego, California, USA. ferrarasteve@hotmail.com
authors.forename: Stephen L
authors.initials: SL
authors.lastname: Ferrara
authors.forename: Thomas B
authors.initials: TB
authors.lastname: Kinney
authors.forename: Lee D
authors.initials: LD
authors.lastname: Hall
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000151:congenital / Q000175:diagnosis / Q000628:therapy*; D001027:Aortography / Q000379:methods; D002585:Cesarean Section; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008279:Magnetic Resonance Imaging; D008297:Male; D011247:Pregnancy; D015641:Radiography, Interventional; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal / Q000379:methods; D055815:Young Adult