European Journal of Ultrasound
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European Journal of Ultrasound 04-2025
Dong J, Yu J, Liu K et. al.
AAA in fetuses is extremely rare. The mortality rate for congenital AAA is reported to be 30.76%, primarily due to rupture or renal failure (Y. Wang et al. Orphanet J Rare Dis 2015; 10:4). Unlike AAA, which involves all 3 layers of the vessel wall, a PSA only partially involves the arterial wall but carries a higher risk of rupture (M. Kreibich et al. Circulation 2015; 3:310). PSAs typically form a localized pocket of flow – either beneath the adventitia or within the surrounding tissues (P.V. Tisi et al. Cochrane Database Syst Rev 2013; 11: DOI: 10.1002/14651858.CD004981.pub4). Progressive growth may lead to bilateral renal infarction and ultimately renal failure. The incidence and mortality rate of congenital PSA in the abdominal aorta remain unknown, as no such cases have been previously reported in the fetus.
