| CASE REPORT |
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| Year : 2017 | Volume
: 22
| Issue : 3 | Page : 176-178 |
Surgical repair of congenital abdominal aortic aneurysm in a 1-year-old child with literature review
Ashwani Bansal1, Aparajita Mitra2, Akshay Kumar Bisoi1, Sandeep Agarwala2
1 Department of Cardio-thoracic and Vascular Surgery, All Institute of Medical Sciences, New Delhi, India
2 Department of Pediatric Surgery, All Institute of Medical Sciences, New Delhi, India
Correspondence Address:
Sandeep Agarwala
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jiaps.JIAPS_258_16
Reported here is a case of 1-year-old male child who presented with huge abdominal mass, which on radiological investigation was diagnosed as retroperitoneal pseudoaneurysm of the aorta. On exploration, it was found to be a true aneurysm of infrarenal abdominal aorta with inflow agenesis. Aneurysm was excised, and aorta was reconstructed with 10 mm Dacron graft. Postoperative computed tomography angiography showed patent graft with good distal runoff. Literature review revealed that only 26 cases of congenital abdominal aortic aneurysm had been reported so far. None of them had inflow agenesis which can give false impression of pseudoaneurysm on preoperative evaluation. The case highlights the utility of additional complimentary investigations such as Doppler study in clinching diagnosis and helping plan and execute successful treatment in the difficult diagnostic scenario.
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