Evidence map›Paper›PMID 42373551›Full record

ArticleVascular specialist international2026

Surgical Treatment of Abdominal Aortoiliac Aneurysms in Children: A Case Series and Systematic Literature Review.

Donghyun Lim, Song-Yi Kim, Sanghyun Ahn, Hyun-Young Kim, Woong-Han Kim, Seung-Kee Min

Abstract read
In one paragraph

Article in Vascular specialist international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Donghyun LimDivision of Vascular Surgery, Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-9949-1588
Song-Yi KimDepartment of Surgery, Chungnam National University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-9795-0410
Sanghyun AhnDivision of Vascular Surgery, Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4308-4788
Hyun-Young KimDivision of Pediatric Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-0106-9969
Woong-Han KimDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2837-7929
Seung-Kee MinDivision of Vascular Surgery, Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1433-2562

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Abdominal aortoiliac aneurysms (AAIAs) in pediatric patients are very rare, but rupture is often fatal. This study aimed to analyze causes, surgical management strategies, and clinical outcomes in pediatric patients with AAIAs who underwent surgical treatment. We also performed a systematic literature review of previously reported cases to inform diagnostic and therapeutic approaches. Materials and Methods: A retrospective case series analysis was conducted of consecutive pediatric patients (age <20 years) diagnosed with abdominal aortic or iliac artery aneurysms who underwent surgical treatment at Seoul National University Hospital from 1997 through 2025. A systematic literature review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Embase, and Web of Science were searched for publications from 1913 through 2025 using search terms including "child", "pediatric", "abdominal aortic aneurysm" and "iliac artery aneurysm". Results: Surgical treatment was successfully performed in five patients, with no perioperative mortality. During a median follow-up of 5 years, four patients were alive with stable outcomes and no aneurysm recurrence or ischemic complications. One patient with tuberous sclerosis complex died 5 years after surgery from seizure-related complications. One patient developed early graft thrombosis but remained asymptomatic due to good collateral circulation. The systematic literature review summarized 96 reported cases of pediatric AAIAs, showing diverse etiologies and surgical approaches and generally favorable long-term outcomes when appropriately managed. Conclusion: Although rare, pediatric AAIAs carry a significant risk of rupture and death, requiring prompt diagnosis and surgical treatment. Experience from pediatric vascular reconstruction suggests that appropriate graft selection and anticipation of somatic growth are key for durable outcomes. Preservation of collateral circulation is crucial, as children demonstrate remarkable tolerance to graft occlusion. Further multicenter studies are needed to establish standardized management protocols for this rare condition.

Indexed as

Abdominal aortic aneurysmCongenitalIliac aneurysmPediatricsVascular surgical procedures

Identifiers

PMID42373551
PMCPMC13314641

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.