Использование материнского венозного трансплантата при врожденной аневризме брюшной аорты у новорожденного: клинический случай: НОВОЕ В МЕДИЦИНЕ

Андрей Петрович  Иванов; Виктор Владиславович  Набоков; Алексей Владимирович  Подкаменев; Евгений Сергеевич  Кулемин; Ольга Леонидовна  Красногорская; Екатерина Павловна  Федотова; Екатерина Петровна  Король; Анастасия Сергеевна  Шемякина

The use of a maternal venous graft for congenital abdominal aortic aneurysm in a newborn: a clinical case

NEW IN MEDICINE

Andrey P. Ivanov Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0003-0194-5674
Viktor V. Nabokov Saint Petersburg State Pediatric Medical University https://orcid.org/0009-0003-7241-5782
Aleksey V. Podkamenev Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0001-6006-9112
Evgenii S. Kulemin Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0001-9208-2290
Olga L. Krasnogorskaya Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0001-6256-0669
Elena P. Fedotova Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0002-2975-1014
Ekaterina P. Korol Saint Petersburg State Pediatric Medical University https://orcid.org/0009-0002-7214-3169
Anastasia S. Shemyakina Saint Petersburg State Pediatric Medical University https://orcid.org/0009-0001-2425-1480

Keywords:

congenital abdominal aortic aneurysm neonate vascular reconstruction vein graft maternal graft aortoiliac reconstruction vein graft arterialization congenital vascular anomalies врожденная аневризма брюшной аорты новорожденные сосудистая реконструкция венозный трансплантат материнский трансплантат аорто подвздошная реконструкция артериализация венозного трансплантата врожденные сосудистые аномалии

Abstract

Introduction. Congenital abdominal aortic aneurysm in neonates is an extremely rare condition associated with a high risk of rupture and poor outcomes. Limited clinical experience and the absence of standardized treatment strategies necessitate the development of novel surgical approaches. Case description. We present a case of a newborn girl with a prenatally diagnosed infrarenal abdominal aortic aneurysm showing progressive enlargement during the antenatal period. On day 7 of life, due to signs of aneurysm dissection, urgent surgical repair was performed. A maternal venous graft was used for reconstruction. Aortoiliac reconstruction with microsurgical anastomoses was successfully completed. The postoperative course was uneventful. Follow-up ultrasound and computed tomography demonstrated graft patency, laminar blood flow, and signs of vascular wall arterialization. Results. The use of a maternal venous graft enabled successful restoration of aortic blood flow without evidence of thrombosis or stenosis in the early postoperative period. The patient remained hemodynamically stable with a satisfactory clinical condition. Conclusion. Maternal venous grafts may represent a promising option for aortic reconstruction in neonates with congenital abdominal aortic aneurysm, offering potential advantages such as biological compatibility and adaptive growth capacity. Further studies are required to evaluate long-term outcomes.

Author Biographies

Andrey P. Ivanov, Saint Petersburg State Pediatric Medical University

Cand. Sci. (Med.), Associate Professor, Dept. of Pediatric Surgery named after G.A. Bairov

Viktor V. Nabokov, Saint Petersburg State Pediatric Medical University

Cand. Sci. (Med.), Deputy Chief Physician for Surgical Care, Associate Professor, Dept. of Pediatric Surgery named after G.A. Bairov

Aleksey V. Podkamenev, Saint Petersburg State Pediatric Medical University

Dr. Sci. (Med.), Professor, Head, Dept. of Pediatric Surgery named after G.A. Bairov

Evgenii S. Kulemin, Saint Petersburg State Pediatric Medical University

Cand. Sci. (Med.), Head, Dept. of Operating Department of the Perinatal Center, Cardiovascular Surgeon, Assistant Professor, Dept. of Pediatric Surgery named after G.A. Bairov

Olga L. Krasnogorskaya, Saint Petersburg State Pediatric Medical University

Cand. Sci. (Med.), Head, Dept. of Pathological Anatomy, Associate Professor, Dept. of Pathological Anatomy with a Course of Forensic Medicine named after Professor D.D. Lokhov

Elena P. Fedotova, Saint Petersburg State Pediatric Medical University

Cand. Sci. (Med.), Associate Professor, Dept. of Pathological Anatomy with a Course of Forensic Medicine named after Professor D.D. Lokhov

Ekaterina P. Korol, Saint Petersburg State Pediatric Medical University

Ultrasound Specialist

Anastasia S. Shemyakina, Saint Petersburg State Pediatric Medical University

Ultrasound Specialist

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The use of a maternal venous graft for congenital abdominal aortic aneurysm in a newborn: a clinical case: NEW IN MEDICINE. (2026). Pediatric Surgery and Intensive Care. Bairov Journal, 1(1), 41-51. https://bairovj.ru/article/view/7958

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