Hospital survival of aortic dissection in children

Aortic Dissection After the Hybrid Stage 1 Procedure: Diagnosis and Management Strategy

“…Very little pediatric-specific reports related to the management of aortic dissection exists with even less pertaining to iatrogenic dissections. In the existing series most children were 15 to 19 years old, and 88% underwent open repair [4]. There is a dearth of information about the natural history of type B dissections in children.…”

“…Although complications pertaining to ductal stent deployment have been described, including retrograde aortic arch obstruction and coarctation either proximal or distal to the stent, structure and anatomy of the patent ductus arteriosus (PDA) rarely precludes stent placement [3]. Aortic dissection after placement of the ductal stent has not been reported and is rare in the pediatric population [4]. We present a case of an iatrogenic Stanford type B/Debakey type IIIa aortic dissection after hybrid stage 1 palliation.…”

Case Report: Management of a 10-Year-Old Patient Who Presented With Infective Endocarditis and Stanford Type A Aortic Dissection

“…Based on the statistical data of 12,142 patients with AD in New York State from 1996 to 2005, no children under the age of 15 years were found, and only 45 patients under the age of 21 years were found (2). Hua et al (3) and Shamszad et al (4) reported that the age of onset in children was mostly 0∼5 years and 15∼20 years, most of them were male, and case fatality rate was 3∼17%. There is no relevant report in China.…”