Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 10, Number 7, July 2019, pages 198-202

Anesthetic Management of Abdominal Aortic Aneurysm Repair in a Patient With Tuberous Sclerosis Complex

Table

Table 1. Previous Reports of Abdominal Aortic Aneurysm in Tuberous Sclerosis
 
Authors and referenceCohort demographicsSurgery and outcome
Salerno et al [9]33-month-old with a juxta-infrarenal abdominal aortic aneurysm, 4 cm in diameterThe aneurysm was repaired surgically with a cadaveric Y-graft. No intraoperative or postoperative complications during long-term follow-up.
Jost et al [10]9-year-old with an infrarenal abdominal aneurysm, 3 cm in diameterSurgically repaired with a Dacron tube graft, with excellent outcome on long-term follow-up.
van Reedt Dortland et al [12]5-year-old with an infrarenal abdominal aortic aneurysm, 8 cm in diameterSurgical repair was performed with a Dacron Y-graft. Postoperative course was uneventful.
Rolfes et al [13]9-month-old with an abdominal aortic aneurysm, 9 cm in diameterSurgical repair with a synthetic graft, which eventually resulted in death from rupture of a proximal suture aneurysm, 15 months post-surgery.
Hagood et al [27]22-month-old with an abdominal aortic aneurysm and renal hamartomaAbdominal aortic aneurysm resection and radical nephrectomy. Vascular continuity was re-established with a Dacron graft. The reconstruction was patent 1 year following reconstruction.
Wong et al [28]1-year-old with an abdominal aortic aneurysm, 2.9 cm in diameterSurgical repair with placement of a synthetic tube graft with reinsertion of visceral arteries. The patient required a subsequent surgery for open repair of a distal aortic suture aneurysm.
Lavocat et al [29]4.5-month-old, presented with acute abdominal pain. Ultrasound and computed tomography imaging confirmed the presence of ectasia of the entire abdominal aorta.The infant died 2 days later from the rupture of this aortic aneurysm.