Congenital abdominal aortic aneurysm causing renovascular hypertension, cardiomyopathy, and death in a 19-day-old neonate

A full-term baby girl who was sent home day of life 2 was admitted to the h ospital on day of life 7 for respiratory distress and poor feeding. The chi ld was found to be hypertensive and in heart failure. Further workup led to the diagnosis of a suprarenal abdominal aortic aneurysm, but the infant ha d deteriorated clinically with heart failure, modest renal failure, renovas cular hypertension, and no operative cure. The child died on day of life 20 . Early diagnosis and prompt surgical resection are essential to managing t his rare and lethal condition. J Pediatr Surg 36.1445-1449. Copyright (C) 2 001 by W.B. Saunders Company.