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Pediatric University surgeons performed a rare operation on a newborn with vascular malformation of the liver

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Latest issue of the journal «Visualization in medicine»

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Mauricio Duarte: I owe a lot to the Leningrad Medical Institute of Pediatrics

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Опубликовано: 18.08.2020

St. Petersburg Pediatric University neurosurgeons have performed operation on a girl with an aneurysm of Hubner's artery

An eleven-year-old girl with extremely rare pathology was hospitalized in the Pediatric University clinic on May 13. The situation required urgent surgical intervention, which was successfully performed by the team of neurosurgeons of SPbSPMU.

Initially, the patient was taken to the Pediatric Research and Clinical Center for Infectious Disease, with suspected meningitis, but this diagnosis was not confirmed. Then the girl was transported to the Pediatric University. By the time of hospitalization, the child had three brain hemorrhages. It was clear that she would not survive the fourth. A complex intracranial operation performed in time by specialists of the Pediatric University helped not only to save the girl's life, but also to avoid the severe consequences of the disease – the development of paralysis.

Aneurysms of cerebral vessels in children are quite rare, and almost never the disease affects the Hubner artery. The problem of surgical exclusion of the aneurysm from the bloodstream, as a rule, is associated with the development of paralysis of the opposite extremities — arm and leg. Another complication of the intervention is that no bypass anastomoses can be created to preserve the blood supply system.

Until the beginning of the operation, physicians doubted the diagnosis: the pathology that the child was suspected was extremely rare. The team of surgeons was also aware that this intervention was complicated and risky. But there was no time to delay. Fortunately, the initially difficult situation was not so terrible for the young patient of the Pediatric University.

«The artery lost its significance during the existence of the aneurysm, and we managed to «turn off» along with the aneurysm without severe neurological loss », said the surgeon who performed the operation Alexey Ivanov.

The operation, which is considered one of the most difficult in neurosurgery, lasted 3 hours, and the patient endured it well. The next morning the motor function of her limbs returned to normal, and soon the girl will completely recover.

Date of publication: 26.06.2020

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