13.10.2017 change 13.10.2017

Szczecin/ Successful operation of ruptured dissecting aneurysm in a child

Photo: Fotolia Photo: Fotolia

Szczecin physicians performed a successful intravascular operation of a ruptured dissecting aneurysm in a 11-year-old girl. According to the spokeswoman for the Clinical Hospital of the Pomeranian Medical University, this was probably the first such operation in the world performed in a child.

Doctors from the Vascular Surgery Clinic implanted in 11-year-old Amelia an aortic stentgraft, a tube on a metal scaffold. They also inserted a stent, a metal mesh, in the celiac artery, which restored the arteries that supply blood to the intestines and kidneys. The operation was performed in mid-September by Dr. Arkadiusz Kazimierczak and Dr. Paweł Rynio.

"In this case, it was necessary to adapt the method to fit the anatomical condition of the small patient. Doctors have decided to use non-standard large, telescope-like +fold+ between the stentgraft and the mesh, so that the material could +grow+ together with the girl" - reported tohe spokeswoman of the Szczecin hospital, Bogna Bartkiewicz.

She explained that the procedure was intravascular, meaning that "the stentgraft was inserted into the aorta through the femoral and brachial arteries".

Dr. Arkadiusz Kazimierczak admitted that it was one of the most difficult operations in his career. "Firstly, it was a child of my daughter\'s age. Secondly, I performed an absolutely atypical operation that I had designed myself in the middle of the night, and did not know if it would work at all - it was a life-saving operation. I resuscitated Amelia on the table twice. However, her smile after the end of treatment rewarded everything" - said the surgeon.

The young patient feels good. The causes of aortic dissection throughout its length will be determined by doctors from the Children\'s Memorial Health Institute in Warsaw.

"The cause of aortic dissection is often hypertension. It mostly affects men around 50-60. It is extremely rare in children. It is now estimated that there are around 30 such cases worldwide in people under 25, even less in children" - reads the hospital press release.

According to the release, the team of vascular surgeons led by Prof. Piotr Gutowski from the Department of Vascular Surgery, General Surgery and Angiology of Clinical Hospital no. 2 of the Pomeranian Medical University in Szczecin has been working on the method of treating aortic dissection for about 2 years. During Amelia\'s surgery, a non-standard modification was applied so that the stentgraft could +grow+ together with the patient - allowing this method to be used in children. (PAP)

author: Marta Zabłocka

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