Document Detail


Aortic aneurysm resulting from umbilical artery catheterization: case report, literature review, and management algorithm.
MedLine Citation:
PMID:  11174798     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aortic aneurysms in infants and children are quite rare. The use of umbilical artery catheters in the management of critically ill neonates has been associated with infection and subsequent aneurysm formation. There have been 46 cases reported (including our own); most of the aneurysms have been located in the abdominal aorta and have displayed saccular morphology. Through an analysis of the literature, we identified two factors that had significant correlation with improved survival: diagnosis before surgery and surgical repair (P <.05). This report presents the case of a 23-day-old neonate with an abdominal aortic aneurysm and hypertension. On the basis of our literature review, we offer a management algorithm for this rare but very serious complication of umbilical artery catheterization.
Authors:
J Mendeloff; A Stallion; M Hutton; J Goldstone
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  33     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-03-22     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  419-24     Citation Subset:  IM    
Affiliation:
Division of Vascular and Pediatric Surgery, Department of Surgery, Case Western Reserve University and University Hospitals, Cleveland, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Aortic Aneurysm, Abdominal / diagnosis,  etiology*,  surgery
Catheterization, Peripheral / adverse effects*
Female
Humans
Infant, Newborn
Streptococcal Infections / etiology
Streptococcus agalactiae
Umbilical Arteries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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