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

Hörmann, Mareike; Pavlidis, Daphne; Brunkwall, Jan; Gawenda, M.

doi:10.1510/icvts.2011.271312

Cited by 22 publications

(22 citation statements)

References 21 publications

(22 reference statements)

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“…Reports and studies have shown a procedural success rate of up to 100% (101)(102)(103)(104)(105). Potential complications are similar to those caused by balloon angioplasty or stent graft placement for recoarctation as described earlier.…”

Section: Techniques For Re-interventionmentioning

confidence: 57%

Coarctation repair—redo challenges in the adults: what to do?

Beckmann

Jassar

2018

J. Vis. Surg.

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Aortic coarctation is one of the most common congenital cardiac pathologies. Repair of native aortic coarctation is nowadays a common and safe procedure. However, late complications, including recoarctation and aneurysm formation, are not uncommon. The incidence of these complications is dependent on the type of the initial operation. Both endovascular and conventional open repair play important roles in the treatment of late complications after previous coarctation repair. This article will review the incidence of late complications after coarctation repair and will discuss the treatment options for redo coarctation repair in adult patients.

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Section: Techniques For Re-interventionmentioning

confidence: 57%

Coarctation repair—redo challenges in the adults: what to do?

Beckmann

Jassar

2018

J. Vis. Surg.

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“…A variety of anatomical aneurysms indicates several mechanisms influencing its development. Another complication is pseudoaneurysm arising from the suture lines or at the isthmus of restenosis [3]. It was described by Morgagni in 1760, however, the first successful intervention occurred only in 1944 by Crafoord & Nylin [4].…”

Section: Aocmentioning

confidence: 99%

Hybrid treatment for correction of pseudoaneurysm after surgical treatment of aortic coarctation

Leal¹,

Ferreira²,

Sternieri³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…4 The prevalence of these aneurysms was 20% in the era before surgical treatment was feasible, and 5% thereafter.1,2 It has been reported that 32% of aneurysms are proximal to the coarctation, 51% are distal, and 17% involve the left subclavian artery (LSA) rather than the aorta.1,2 After surgical correction of coarctation, aneurysms may also form at the site of repair, regardless of the surgical technique used. …”

mentioning

confidence: 99%

“…4 The prevalence of these aneurysms was 20% in the era before surgical treatment was feasible, and 5% thereafter.…”

mentioning

confidence: 99%

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Endovascular Treatment of Distal Aortic Arch Aneurysm Associated with Coarctation of Aorta in a Jehovah's Witness

Tommaso¹,

Mannacio²,

Tommaso³

et al. 2017

Texas Heart Institute Journal

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C oarctation of the aorta accounts for 3% to 5% of congenital cardiac malformations.1-3 Late aneurysmal formation in the proximal or distal aortic arch is a well-recognized sequela of untreated coarctation, and it is associated with an increased risk of aortic rupture and death. 4 The prevalence of these aneurysms was 20% in the era before surgical treatment was feasible, and 5% thereafter.1,2 It has been reported that 32% of aneurysms are proximal to the coarctation, 51% are distal, and 17% involve the left subclavian artery (LSA) rather than the aorta.1,2 After surgical correction of coarctation, aneurysms may also form at the site of repair, regardless of the surgical technique used. 2We describe the case of a Jehovah's Witness with an untreated coarctation who had an acute dissection of a prestenotic thoracic aortic aneurysm. To avoid open surgery and the need for blood products, we performed an emergency endovascular aortic repair. Only a few patients have undergone this treatment, and, to our knowledge, our patient was the first to have it in an emergency. 3,5 Case ReportIn April 2013, a 44-year-old man with untreated coarctation of the aorta experienced new-onset chest pain and sought treatment at a local hospital. He was transferred to our institution when he was diagnosed with acute dissection of a thoracic aortic aneurysm.The coarctation and a large prestenotic aortic aneurysm, proximal to the LSA, had been diagnosed 20 years earlier. The patient also had a history of systemic hypertension, which had been managed medically. His blood pressure was 150/100 mmHg at the current presentation.Contrast-enhanced computed tomograms showed a tortuous descending thoracic aorta with a voluminous dissected aneurysm, distal to the origin of the subclavian artery ( Figs. 1 and 2). Angiograms showed that the aneurysm was prestenotic (diameter, 78 mm; gradient, 45 mmHg) and proximal to the untreated coarctation (Fig. 3).The patient would have been a candidate for open surgery, but his religious beliefs precluded blood transfusion if bleeding occurred, placing him at an extremely high risk of death. Although endovascular repair has risks, this option was considered to be safer because it would minimize the risk of bleeding and reduce the risk of injury to the laryngeal and phrenic nerves.

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

Cited by 22 publications

References 21 publications

Coarctation repair—redo challenges in the adults: what to do?

Coarctation repair—redo challenges in the adults: what to do?

Hybrid treatment for correction of pseudoaneurysm after surgical treatment of aortic coarctation

Endovascular Treatment of Distal Aortic Arch Aneurysm Associated with Coarctation of Aorta in a Jehovah's Witness

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