Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200195
Jornal Vascular Brasileiro
Case Report

Aneurisma idiopático de artéria ilíaca comum direita em criança de três anos - relato de caso

Idiopathic right common iliac artery aneurysm in a three-year-old child - case report

Loraine Entringer Falqueto; Gabriela Caetano Lopes Martins; Arthur Akio Konno Saito; Ayrton Alves Aranha Junior; Ziliane Caetano Lopes Martins

Downloads: 0
Views: 666

Resumo

Resumo: A incidência de aneurismas ilíacos em crianças não é conhecida, havendo apenas alguns relatos de casos na literatura sobre o tema. Neste estudo, é relatado o caso de um paciente masculino, 3 anos, com aneurisma sacular isolado na bifurcação da artéria ilíaca comum direita de origem idiopática, que foi submetido a ressecção, ligadura da artéria ilíaca interna e anastomose vascular término-terminal. Após 1 mês de seguimento, foi diagnosticada oclusão assintomática da anastomose. Devido à presença de circulação colateral, não houve repercussões clínicas da oclusão, e a criança apresentou evolução clínica favorável a médio prazo.

Palavras-chave

aneurisma congênito, aneurisma ilíaco, pediatria, criança

Abstract

The incidence of iliac aneurysms in children is unknown and there are only a small number of case reports in the literature on the subject. This article describes the case of a 3-year-old male patient with an isolated saccular aneurysm at the bifurcation of the right common iliac artery, of idiopathic origin, which was repaired by resection, ligature of the internal iliac artery and end-to-end vascular anastomosis. After 1 month of follow-up, he was diagnosed with asymptomatic occlusion of the anastomosis. The occlusion had no clinical repercussions because of collateral circulation and the child has had a favorable clinical course over the medium term.

Keywords

congenital aneurysm; iliac aneurysm; pediatrics; child.

References

1 Lee JH, Oh C, Youn JK, Han JW, Kim HY, Jung SE. Right iliac arterial aneurysm in a 4-year-old girl who does not have a right external iliac artery. Ann Surg Treat Res. 2016;91(5):265-8. http://dx.doi.org/10.4174/astr.2016.91.5.265. PMid:27847800.

2 Sarkar R, Coran AG, Cilley RE, Lindenauer SM, Stanley JC. Arterial aneurysms in children: clinicopathologic classification. J Vasc Surg. 1991;13(1):47-56. http://dx.doi.org/10.1016/0741-5214(91)90011-I. PMid:1987396.

3 Zaidan LR, Siddique MT, Sharif MA, AlGarni S, Alomran F, Koussayer S. Isolated idiopathic right common iliac artery aneurysm presenting as acute appendicitis in a 9-year-old girl: a case report and literature review. Ann Vasc Surg. 2019;61:469.e13-9. http://dx.doi.org/10.1016/j.avsg.2019.05.026. PMid:31382004.

4 Hoshiko FM, Zampieri EHS, Dalio MB, Dezotti NRA, Joviliano EE. Reparo de aneurisma de artéria ilíaca roto em criança. J Vasc Bras. 2017;16(1):48-51. http://dx.doi.org/10.1590/1677-5449.008616. PMid:29930623.

5 Brunkwall J, Hauksson H, Bengtsson H, Bergqvist D, Takolander R, Bergentz SE. Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence. J Vasc Surg. 1989;10(4):381-4. http://dx.doi.org/10.1016/0741-5214(89)90411-4. PMid:2795762.

6 Zimmermann A, Kuehnl A, Seidl S, Eckstein HH. Idiopathic aneurysm of the common iliac artery in an 11-year-old child. J Vasc Surg. 2009;50(3):663-6. http://dx.doi.org/10.1016/j.jvs.2009.04.056. PMid:19576718.

7 Krysiak R, Żyłkowski J, Jaworski M, Brzewski M, Bober-Olesińska K. Neonatal idiopathic aneurysm of the common iliac artery. J Vasc Surg Cases Innov Tech. 2019;5(2):75-7. http://dx.doi.org/10.1016/j.jvscit.2018.10.002. PMid:31025026.

8 Moritz MW. Primary iliac artery aneurysm in a two-year-old girl. Ann Vasc Surg. 1986;1(3):392-5. http://dx.doi.org/10.1016/S0890-5096(06)60143-X. PMid:3504354.

9 Taketani S, Imagawa H, Kadoba K, Sawa Y, Sirakura R, Matsuda H. Idiopathic iliac arterial aneurysms in a child. J Pediatr Surg. 1997;32:1519. http://dx.doi.org/10.1016/S0022-3468(97)90582-0.

10 Chithra R, Ajai Sundar R, Velladuraichi B, Sritharan N, Amalorpavanathan J, Vidyasagaran T. Pediatric isolated bilateral iliac aneurysm. J Vasc Surg. 2013;58(1):215-6. http://dx.doi.org/10.1016/j.jvs.2012.11.036. PMid:23433815.

11 Başpınar O, Vuruşkan E, Coşkun S, Aldudak B. Transcatheter treatment of a symptomatic giant iliac artery aneurysm with a begraft peripheral stent in a 2-year-old child. Pediatr Cardiol. 2020;41(5):1067-70. http://dx.doi.org/10.1007/s00246-019-02266-1. PMid:31848637.

12 Davis FM, Eliason JL, Ganesh SK, Blatt NB, Stanley JC, Coleman DM. Pediatric nonaortic arterial aneurysms. J Vasc Surg. 2016;63(2):466-76.e1. http://dx.doi.org/10.1016/j.jvs.2015.08.099. PMid:26804218.
 


Submitted date:
10/08/2020

Accepted date:
01/30/2021

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
60c0cefea9539512ba0e4e73 jvb Articles

J Vasc Bras

Share this page
Page Sections