Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.008616
Jornal Vascular Brasileiro
Therapeutic Challenge

Reparo de aneurisma de artéria ilíaca roto em criança

Repair of ruptured iliac artery aneurysm in a child

Fernando Massaru Hoshiko*, Elisa Helena Subtil Zampieri, Marcelo Bellini Dalio, Nei Rodrigues Alves Dezotti, Edwaldo Edner Joviliano

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Resumo

Relatamos o caso de uma menina de 12 anos que deu entrada na unidade de emergência com quadro de abdome agudo hemorrágico, massa abdominal pulsátil e instabilidade hemodinâmica. Confirmado o diagnóstico de aneurisma roto de artéria ilíaca direita, foi realizada correção cirúrgica de emergência por reparo aberto com reconstrução extra-anatômica, utilizando enxerto sintético de fino calibre, compatível com a anatomia. O tratamento foi bem-sucedido e a criança apresentou evolução favorável em curto prazo.

Palavras-chave

aneurisma ilíaco; aneurisma roto; criança; enxerto vascular.

Abstract

We describe the case of a 12-year-old girl who presented at the emergency department with hemorrhagic acute abdomen, an abdominal pulsating mass and hemodynamic instability. A diagnosis of ruptured right iliac artery aneurysm was confirmed and an emergency open repair procedure was performed with extra-anatomic reconstruction, using a small-caliber synthetic graft, compatible with her anatomy. The treatment was successful and the child was doing well at short-term follow-up.

Keywords

ruptured aneurysm; iliac aneurysm; child; vascular graft.

References

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