Systematic Review of Pediatric Abdominal Aortic Aneurysms.
Pediatric abdominal aortic aneurysms carried 17.2% overall mortality in this review.
Systematic Review of Pediatric Abdominal Aortic Aneurysms.
Pediatric abdominal aortic aneurysms (abdominal aortic aneurysms) are rare and differ fundamentally from adult degenerative disease in etiology, presentation, and management.
A PRISMA-compliant systematic review was conducted using PubMed/MEDLINE, Embase, and Web of Science from inception through March 2025.
Seventy-seven studies encompassing 87 pediatric patients met inclusion criteria.
The median age at presentation was 13 months [IQR: 1-96 months], with some cases identified in the prenatal period.
Thirteen patients (15%) presented with rupture.
Most aneurysms were infrarenal (81.6%), with a mean diameter of 4.6 cm.
Pediatric abdominal aortic aneurysms represent a heterogeneous and clinically significant entity distinct from adult disease. Early recognition in high-risk populations and timely surgical intervention are critical.
Given the absence of pediatric-specific guidelines, multicenter collaboration and long-term surveillance data are needed to inform evidence-based management strategies.