TY - JOUR
T1 - Acute Renal and Hepatic Failure in an Adolescent
T2 - An Unusual Presentation of Multiple Aortic Aneurysms
AU - Wadia, Rajeev S.
AU - Schwartz, Jamie M.
AU - Kudchadkar, Sapna R.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Aortic dissection secondary to thoracoabdominal aortic aneurysms is very uncommon in children, and this life-threatening diagnosis requires a high clinical index of suspicion. Unlike adults, in whom atherosclerosis, inflammation, and advanced age are typically contributing factors, aortic dissection in children is usually due to nonatherosclerotic causes. Aortic aneurysms can be asymptomatic when small but, when significantly enlarged, can compromise organ function and dissect, resulting in high mortality rates. It is therefore critical that children with this uncommon condition be identified early when medical or surgical management can potentially improve outcome. We describe a 15-year-old patient with multiple aortic aneurysms with dissection whose presentation includes chronic anemia, acute-on-chronic renal failure with hyperkalemia, and liver injury.
AB - Aortic dissection secondary to thoracoabdominal aortic aneurysms is very uncommon in children, and this life-threatening diagnosis requires a high clinical index of suspicion. Unlike adults, in whom atherosclerosis, inflammation, and advanced age are typically contributing factors, aortic dissection in children is usually due to nonatherosclerotic causes. Aortic aneurysms can be asymptomatic when small but, when significantly enlarged, can compromise organ function and dissect, resulting in high mortality rates. It is therefore critical that children with this uncommon condition be identified early when medical or surgical management can potentially improve outcome. We describe a 15-year-old patient with multiple aortic aneurysms with dissection whose presentation includes chronic anemia, acute-on-chronic renal failure with hyperkalemia, and liver injury.
KW - Ehlers-Danlos syndrome
KW - aortic aneurysms
KW - aortic dissection
KW - renal failure
UR - http://www.scopus.com/inward/record.url?scp=84960078249&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84960078249&partnerID=8YFLogxK
U2 - 10.1097/PEC.0000000000000256
DO - 10.1097/PEC.0000000000000256
M3 - Article
C2 - 25411855
AN - SCOPUS:84960078249
SN - 0749-5161
VL - 31
SP - 649
EP - 651
JO - Pediatric Emergency Care
JF - Pediatric Emergency Care
IS - 9
ER -