Late aneurysm after subclavian flap aortoplasty for coarctation of the aorta

Endovascular treatment of an aortic aneurysm and patent ductus arteriosus

“…Late complications after surgical repair of aortic coarctation may include aneurysm formation in the post-isthmic thoracic aorta. They are rare after subclavian flap aortoplasty, but are more common after dacron patch aortoplasty ( 2 ), such as that observed in our case. Aneurysm formation carries the risk of rupture and sudden death, whereas re-do surgery leads to a 14% in-hospital death rate or morbidity because of paraplegia or bleeding ( 4 ).…”

“…When diseases coexist in children or teenagers, surgical treatment is frequently recommended as far as both conditions can be addressed in a single surgery. Depending on the techniques used during the initial surgery, late complications after surgery for aortic coarctation may be the formation of an aneurysm in the descending aorta ( 2 ). Reopening of PDA has also been observed after surgical ligation ( 3 ).…”

Aortic coarctation in the adult: Management of complications and coexisting arterial abnormalities with hypothermic cardiopulmonary bypass and circulatory arrest

“…These complications include aneurysm formation and stenosis or occlusion of bypass grafts. [9][10][11][12][13] Other adult patients are seen with previously undiagnosed aortic coarctation and are usually treated with percutaneous balloon aortoplasty or with resection and graft interposition or end-to-end anastomosis. [14][15][16][17] A few adult patients, however, are seen with complex forms of aortic coarctation or with coexisting abnormalities of the left subclavian artery or the aortic arch.…”

Coartação de aorta em crianças até um ano: análise de 20 anos de experiência

“…Some publications have discussed the disadvantages of Waldhausen's technique, such as, for example, the gangrene of the limb, described in 1980 13 , with such complication not being further reported in the literature, or even claudication and hypogrowth 8,9 , Horner's syndrome 8 , late formation of aneurysms, published 5 cases in the literature 15 , being the histopathologic base for its formation the existence of a ductal origin flat muscle that further becomes fibrous 16 . Those complications were not found in our series.…”