Surgical management of type IV thoracoabdominal aortic aneurysm in a 4-year-old child: A case report and review of the literature.

Rocco Pasqua, Jean-Michel Davaine, Louise Koskas, Priscilla Nardi, Giulio Illuminati, Fabien Koskas

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Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Rocco PasquaDepartment of Surgery, Sapienza University of Rome, Rome, Italy.

Jean-Michel DavaineChirurgie vasculaire et endovasculaire, CHU Pitié-Salpêtrière, Paris, France.

Louise KoskasChirurgie vasculaire et endovasculaire, CHU Pitié-Salpêtrière, Paris, France.

Priscilla NardiDepartment of Surgery, Sapienza University of Rome, Rome, Italy.

Giulio IlluminatiDepartment of Surgery, Sapienza University of Rome, Rome, Italy.

Fabien KoskasClinique Turin, ICPC Turin, Paris, France.

Funding

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6 · The paper itself

Abstract

Thoracoabdominal aortic aneurysms in children are rare, associated with syndromic, congenital, or acquired disorders, and can be life threatening. Although early intervention is advocated, optimal management remains undefined, and vessel size and aortic growth pose technical challenges. We report the case of a 4-year-old boy with type IV thoracoabdominal aortic aneurysm, celiac trunk occlusion, and stenoses of the superior mesenteric and renal arteries from inflammatory disease causing renovascular hypertension. He underwent thoracoabdominal bypass using a C-shaped Dacron graft, indirect reimplantation of the superior mesenteric artery and renal arteries with cryopreserved allografts, and orthotopic autotransplantation of the left kidney. The outcome was favorable, supporting open repair in selected pediatric patients.

Indexed as

AortaCryopreserved allograftsPediatric surgeryRenovascular hypertensionThoracoabdominal aortic aneurysmVascular surgery

Identifiers

PMID42028120

DOI10.1016/j.jvscit.2026.102196

PMCPMC13099455

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