Aortic Rupture by an Acute Dissection of the Thoracoabdominal Aorta in a 12-Year-Old Boy

Ann Vasc Surg . 2021 Aug;75:532.e9-532.e13. doi: 10.1016/j.avsg.2021.03.025. Epub 2021 Apr 6.

Fecha de la publicación: 06/04/2021

Autor: Adriana Baturone Blanco (1), Antonio Martín Conejero (2), Rodrigo Rial Horcajo (2), Manuela M Hernández Mateo (2), Ferrán Pla Sánchez (2), Óscar Uclés Cabeza (2), Francisco Javier Serrano Hernando (2)

Palabras clave: Acute abdomen, Adolescents, Aortic dissection, Aortic rupture, Children

PMID

Affiliations

1Physician in the Angiology and Vascular Surgery Department, San Carlos Clinical Hospital, Madrid. Electronic address: adriana.baturone@gmail.com.

2Physician in the Angiology and Vascular Surgery Department, San Carlos Clinical Hospital, Madrid.

Abstract

Aortic dissection is exceptional in children. When they are affected, many clinical conditions as Marfan syndrome or Ehlers-Danlos syndrome are usually involved, but up to 22% have no associated background. Its high morbidity and low incidence in this age group require a high level of suspicion in children without predisposing factors when the presentation is atypical, to avoid the severe consequences of the delay of their diagnosis. In this article we describe the dissection and aortic rupture in a 12-year-old child without relevant medical history, and the open repair that was performed as treatment.