Endovascular Treatment of Long-Term Complications Following Surgical Repair of Aortic Coarctation

Cardiac device to plug an aorto-bronchial fistula

“…Aneurysms, true or false, are the most common complications, with an incidence rate of 7% to 38%. Asymptomatic enlargement of these kind of aneurysms or pseudoaneurysms has an unacceptable high rate of sudden rupture according to literature even in smaller sizes (Oliver et al 2004 ; García-Pavíaa 2010 ; Kodolitsch 2002 ). Aneurysms occur following all types of surgical and even transcatheter repair procedures, especially after Dacron patch graft aortoplasty.…”

“…Pseudoaneurysms, with an incidence rate of 3% to 38%, develop from suture lines or at the site of isthmic restenosis. Conservative management is associated with an unbelievably high rupture rate and a rupture-related mortality rate of 7% (Oliver et al 2004 ; García-Pavíaa 2010 ; Kodolitsch 2002 ; Marcheix et al 2007 ).…”

“…Conventional management of large thoracic aneurysms after aortic coarctation repair is similar to surgical treatment of nonspecific aneurysms. It is a complex procedure in that it necessitates hypothermic circulatory arrest more frequently and is associated with high mortality (14%– 23%) and morbidity, including paralysis of the recurrent laryngeal and phrenic nerves, bleeding, and paraplegia (García-Pavíaa 2010 ; Yazar et al 2011 ). The endovascular approach has been proposed as a promising alternative for managing these patients (García-Pavíaa 2010 ).…”

“…Further, redo surgery is associated with complications, and patients tend to opt for minimally invasive procedures. Endovascular stent grafting is considered as the preffered option for the treatment of patients with post-coarctoplasty aortic pseudoaneurysm (García-Pavíaa 2010 ; Yazar et al 2011 ).…”

Long-term results of endovascular aortic repair for thoracic pseudoaneurysms after previous surgical coarctation repair

“…[18] 2008 9 100 0 0 24 Midulla [19] 2008 7 100 1 1 37 Botta [20] 2009 11 100 0 0 44.5 Garcia-Pavia [21] 2010 4 100 0 0 36 Shennib [22] 2010 8 100 0 0 31 Canaud [23] 2010 7 100 0 0 44 Current series 2010 4 100 0 0 60.5…”