PMID: 3746609Aug 1, 1986Paper

Aorto-iliac aneurysms following umbilical artery catheterization

Journal of Pediatric Surgery
D E DruckerA M Salzberg

Abstract

Aneurysms of the aorta and its major branches are rare in the pediatric population and are usually associated with cardiovascular malformations. Recently, however, a number of children have emerged with aneurysms following umbilical artery catheterization (UAC). In the last 8 years, two such patients have presented at the Medical College of Virginia. These are reported in detail and compared with 18 others found in the literature (12 thoracic, 4 abdominal, 2 iliac). Several conclusions follow from the study of this group of 20 children: The history of umbilical artery catheterization in the presence of bacteremia, especially staphylococcal, is a prime risk factor in the development of aneurysms (90%, P less than .01). In addition, there was a concordance between the location of the catheter tip and the site of future aneurysm formation (P less than .05). UAC associated aneurysms are difficult to diagnose because of their rarity and have often been mistaken for tumors. The diagnosis should be suspected in the workup of a tumor in a child with an appropriate history. Though these aneurysms are probably mycotic, pus has not been encountered at surgery and there have been no reported graft infections. Patients with S aureus bactere...Continue Reading

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Citations

Jun 26, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·R M McAdamsJ J Coalson
Mar 6, 2007·Archives of Disease in Childhood. Fetal and Neonatal Edition·Afraa Al-SabbaghJulian Eason
Sep 23, 2000·AJR. American Journal of Roentgenology·A CartnerO Faye-Petersen
Aug 23, 2003·AJR. American Journal of Roentgenology·Ricardo RestrepoPhillip John
Nov 8, 2011·The Annals of Thoracic Surgery·Caisheng YeShenming Wang
Jun 28, 2015·Annals of Vascular Surgery·Ehsan BenrashidMitchell W Cox
Nov 14, 1997·Journal of Vascular Surgery·P GambaG F Zanon
Feb 5, 2008·The Journal of Thoracic and Cardiovascular Surgery·Laurie E ProfitlichUmesh Joashi
Oct 26, 2016·Journal of Vascular Surgery·Jonathan L EliasonJames C Stanley
Mar 20, 2012·Journal of Pediatric Surgery·Denise A MonahanJuan E Sola
Jul 22, 2008·Journal of Pediatric Surgery·K Tim BuddinghPaul M A Broens
Jul 26, 2005·The Annals of Thoracic Surgery·Nathalie RoyTom R Karl
Dec 21, 2004·Journal of Perinatology : Official Journal of the California Perinatal Association·Ryan M McAdams, Randy R Richardson
Oct 11, 2001·Journal of Perinatology : Official Journal of the California Perinatal Association·T E Herman, M J Siegel
Feb 6, 2007·Annals of Saudi Medicine·G Khougeer, S Al-Garni
Jan 1, 1989·Journal of Clinical Ultrasound : JCU·V A Tran-MinhL Sann

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