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Giant aortic aneurysm in a child with Takayasu arteritis

Published online by Cambridge University Press:  14 September 2015

Ihab Halaweish ,
Himanshu Patel  and
Ming-Sing Si
Ihab Halaweish
Affiliation:
Department of Cardiac Surgery, Sections of Pediatric Cardiovascular Surgery and Adult Cardiac Surgery, University of Michigan, Ann Arbor, Michigan, United States of America
Himanshu Patel
Affiliation:
Department of Cardiac Surgery, Sections of Pediatric Cardiovascular Surgery and Adult Cardiac Surgery, University of Michigan, Ann Arbor, Michigan, United States of America
Ming-Sing Si*
Affiliation:
Department of Cardiac Surgery, Sections of Pediatric Cardiovascular Surgery and Adult Cardiac Surgery, University of Michigan, Ann Arbor, Michigan, United States of America
*
Correspondence to: M.-S. Si, MD, Department of Cardiac Surgery, 11-735 C.S. Mott Children’s Hospital, 1540 E. Hospital Drive, SPC 4204, Ann Arbor, MI 48109-4204, United States of America. Tel: +734 936 4978; Fax: +734 232 8595; E-mail: [email protected]
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Abstract

Takayasu arteritis is a chronic, idiopathic, granulomatous vasculitis involving the aorta, its major branches, and occasionally the pulmonary arteries. Although rare in children, it is the third most common vasculitis in the paediatric population. Although aneurysmal disease has been reported in adults with Takayasu arteritis, it is a rare entity in children. We present the case of a 10-year-old boy with a giant ascending and arch aneurysm that necessitated follow-up surgery for a new aneurysm and occlusive disease. This is also the first published case involving endovascular aortic graft placement for the management of vascular sequela of Takayasu arteritis in a child.

Keywords

AneurysmTakayasuarteritisendovascularpaediatric
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 3 , March 2016 , pp. 593 - 595
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Copyright
© Cambridge University Press 2015 

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References

1. Lindsley, CB, Laxer, RM. Granulomatous vasculitis, giant cell arteritis, and sar- coidosis. In: Cassidy JT, Petty RE, Laxer RM, Lindsley CB eds Textbook of Pediatric Rheumatology, 5th edn. Elsevier Saunders, Philadelphia, 2005: 539–560.Google Scholar
2. Zhu, WH, Shen, LG, Neubauer, H. Clinical characteristics, interdisciplinary treatment and follow-up of 14 children with Takayasu arteritis. W J Pediatr 2010; 6: 342–347.Google Scholar
3. Vanoli, M, Daina, E, Salvarani, C, et al. Takayasu’s arteritis: a study of 104 Italian patients. Arthritis Rheum 2005; 53: 100–107.Google Scholar
4. Ozen, S, Pistorio, A, Iusan, SM, et al. EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: final classification criteria. Ann Rheum Dis 2010; 69: 798–806.Google Scholar
5. Kumar, S, Subramanyan, R, Mandalam, KR, et al. Aneurysmal form of aortoarteritis (Takayasu’s disease): analysis of thirty cases. Clin Radiol 1990; 42: 342–347.Google Scholar
6. Kalangos, A, Baldovinos, A, Beghetti, M, et al. Ascending aortic aneurysm associated with aortic insufficiency due to Takayasu’s arteritis. Ann Thorac Surg 1999; 68: 248–250.Google Scholar
7. Isobe, M. Takayasu arteritis revisited: current diagnosis and treatment. Int J Cardiol 2013; 168: 3–10.Google Scholar
8. Qureshi, MA, Martin, Z, Greenberg, RK. Endovascular management of patients with Takayasu arteritis: stents versus stent grafts. Semin Vasc Surg 2011; 24: 44–52.Google Scholar