TY - JOUR AR - SCR-2020-8-119 TI - Surgical Treatment of Abdominal Aortic Aneurysm in a 3-Year-Old Girl with Tuberous Sclerosis Complex AU - Cortes , Andrés AU - Cubero , Alain AU - Hamzeh , Gadah AU - Rodríguez , Miguel A AU - Pérez , Clara AU - José , I. Aramendi JO - Surgical Case Reports PY - 2020 DA - Sat 15, Aug 2020 SN - 2613-5965 DO - http://dx.doi.org/10.31487/j.SCR.2020.08.19 UR - https://www.sciencerepository.org/surgical-treatment-of-abdominal-aortic-aneurysm-in-a-3-year-old_SCR-2020-8-119 KW - Tuberous sclerosis, abdominal aortic aneurysm, congenital heart disease (CHD), vascular disease, genetics AB - The tuberous sclerosis complex is a multisystem disorder affecting children and adults. The association between abdominal aortic aneurysm and tuberous sclerosis is rare. We present 3-year-old girl with a pulsatile abdominal mass in the pediatrician´s medical review. An abdominal evaluation showed a 6cm infrarenal abdominal aortic aneurysm. The patient underwent open repair with a 14-mm Dacron tube graft. The histological examination revealed connective tissue proliferation, fibrosis, and calcification of the aortic wall. Frequent follow-ups with ultrasounds showed no alterations. Due to the high risk of rupture, early surgical repair is the first-line therapy.