Endarteritis and false aneurysm complicating aortic coarctation

Pseudoaneurysm complicating aortic coarctation in a pregnant woman

“…In adults, only a few cases have been previously reported [2,3]. Our case is the first to report this association in a pregnant woman.…”

Infective endarteritis and false mycotic aneurysm complicating aortic coarctation

“…[1] In aortic coarctaion, endocarditis and endarteritis remain uncommon, although a few cases have been reported. [2–5] Endocarditis affecting an associated bicuspid aortic valve seems to be more frequent than infection on the coarctation itself.…”

“…[2] More than 90% of mycotic aneurysms result from infective endocarditis with infected microemboli reacing the vasa vasorum. However, postcoarctation mycotic false aneurysms originate at the site of previously injured endothelium because of a jet lesion and by direct seeding of microorganisms,[6] as we can presume in the present case.…”

“…In situ reconstruction of the aorta with homograft material after excising the entire infected tissue seems to be the preferable surgical treatment for mycotic aneurysm located at the site of aortic coarctation. [2] Aneurysm resection after completion of antibiotic treatment is generally recommended, but is not always successful, as persistence of the aortitis can occur despite adequate blood levels of antibiotics; because of this and the risk of aneurysmal rupture, immediate operation may be preferred. [8]…”

Native aortic coarctation presenting as prolonged pyrexia in a teenager with 22q11.2 deletion

“…1,2 In addition, mycotic aneurysms have also been previously reported in the setting of native or undiagnosed CoA of the aorta and may be the first clinical presentation of the disease, usually in late childhood or in adult life. [10][11][12][13][14][15] Aneurysms in patients with CoA have also been reported in the left subclavian artery, innominate artery, intercostal artery and abdominal aorta. In addition, 10% of CoA patients develop berry aneurysms of the circle of Willis usually during the fourth to fifth decade.…”