title: Endovascular treatment of stenoses in a pediatric patient with incomplete aortic duplication, mesenteric ischemia, and renovascular hypertension.
abstract: Variations in abdominal aortic anatomy may have significant implications in various surgical procedures. We report here a pediatric patient with symptoms of chronic mesenteric ischemia, labile hypertension, and lower extremity claudication. Angiography revealed a partially duplicated aorta with the anterior aorta containing the splanchnic and renal arteries and the posterior segment perfusing the lower extremities. She was successfully treated with balloon angioplasty of two focal stenoses and is normotensive without abdominal symptoms at 1-year follow-up. To our knowledge, this is the first report of a successful endovascular intervention in a partially duplicated aorta.
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Tufts Medical Center, Boston, MA 02111, USA. hma@tuftsmedicalcenter.org
authors.forename: Harry
authors.initials: H
authors.lastname: Ma
authors.forename: Abdullah
authors.initials: A
authors.lastname: Kandil
authors.forename: Omar P
authors.initials: OP
authors.lastname: Haqqani
authors.forename: Steven P
authors.initials: SP
authors.lastname: Maloney
authors.forename: Neil
authors.initials: N
authors.lastname: Halin
authors.forename: Mark D
authors.initials: MD
authors.lastname: Iafrati
mesh_terms: D000293:Adolescent; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000295:instrumentation; D001012:Aorta, Abdominal / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001027:Aortography; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D007383:Intermittent Claudication / Q000209:etiology / Q000628:therapy; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D065666:Mesenteric Ischemia; D012078:Renal Artery Obstruction / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D015607:Stents; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D054079:Vascular Malformations / Q000150:complications* / Q000175:diagnosis