Endovascular Technique for Repair of Descending Thoracic Aortic Aneurysm After Coarctation Operation

Ann Thorac Surg. 2017 Feb;103(2):e167-e169. doi: 10.1016/j.athoracsur.2016.06.110.

Abstract

The incidence of aneurysm after open surgical repair of coarctation is 11% to 24%. If the condition is left untreated, fatal rupture may occur. Thoracic endovascular aortic repair (TEVAR) has been reported as a feasible and safe alternative to open surgical repeated procedures in this context. However, TEVAR might be challenging because of the proximity of the pathologic condition to the supraaortic vessels and the ongoing presence of the coarctation. We report a unique case of a 48-year old man undergoing TEVAR because of aortic aneurysm after previous surgical coarctation treatment and successful closure of the coarctation with a vascular plug device.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Coarctation / diagnostic imaging
  • Aortic Coarctation / surgery*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery
  • Blood Vessel Prosthesis Implantation / methods*
  • Cardiac Surgical Procedures / adverse effects
  • Cardiac Surgical Procedures / methods
  • Computed Tomography Angiography / methods
  • Endovascular Procedures / instrumentation*
  • Endovascular Procedures / methods
  • Follow-Up Studies
  • Humans
  • Imaging, Three-Dimensional*
  • Male
  • Middle Aged
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery
  • Risk Assessment
  • Septal Occluder Device
  • Treatment Outcome