Delayed manifestation of abdominal aortic stenosis in a child presenting 10 years after blunt abdominal trauma

• Published in: Journal of vascular surgery Vol. 44; no. 5; pp. 1104 - 1106
• Main Authors: Diaz, José A., Campbell, Brendan T., Moursi, Mohammed M., Boneti, Cristiano, Kokoska, Evan R., Jackson, Richard J., Smith, Samuel D.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-11-2006; Elsevier
• Subjects: Abdominal Injuries - complications; Abdominal Injuries - diagnosis; Adolescent; Angioplasty - methods; Aorta, Abdominal - diagnostic imaging; Aorta, Abdominal - injuries; Arterial Occlusive Diseases - diagnosis; Arterial Occlusive Diseases - etiology; Arterial Occlusive Diseases - surgery; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Diagnosis, Differential; Diseases of the aorta; Follow-Up Studies; Humans; Male; Medical sciences; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Time Factors; Tomography, X-Ray Computed; Ultrasonography; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Wounds, Nonpenetrating - complications; Wounds, Nonpenetrating - diagnosis; Human; Aortic stenosis; Abdominal trauma; Cardiac valvular disease; Abdominal disease; Surgery; Cardiovascular disease; Child
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2006.06.040

We report the case of a 13-year-old boy who, at 3 years of age, was a rear seat–restrained passenger in a high-speed motor vehicle crash necessitating segmental small-bowel resection. The patient remained well for 10 years; then he began to have exercise-induced fatigue in his lower extremities. Routine physical examination revealed a bruit and thrill in the mid abdomen and diminished femoral pulses. Aortic stenosis was diagnosed and treated surgically. We discuss the pathophysiology of the lesion and review the literature. This is the first report of abdominal aortic stenosis 10 years after blunt abdominal trauma in a child.