Pseudoaneurysm of the Descending Aorta Complicating an Untreated Aortic Coarctation

Prifti, Edvin; Kuçi, Saimir; Krakulli, Klodian; Nuellari, Edmond

doi:10.1016/j.athoracsur.2014.10.027

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…2,4,8 Some surgeons also chose to perform extra-anatomic reconstruction, which also achieved good results. 9 However, endovascular techniques were rarely used for this complex pathological condition. The two main concerns were that CoA and mycotic aneurysm needed to be treated at the same time and the infectious lesions could not be completely removed.…”

Section: Discussionmentioning

confidence: 99%

Successful surgical management of coarctation of the aorta with infective endaortitis and splenic abscess: a case report

Wang

Chen

2020

J Int Med Res

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Infective endaortitis with a splenic abscess is an extremely rare and fatal complication of coarctation of the aorta. We herein describe a 19-year-old female patient with a 2-month history of intermittent fever with progressive abdominal and leg pain. Aortic computed tomography angiography showed a rapidly progressive poststenotic saccular aneurysm immediately distal to the coarctation. Enhanced abdominal computed tomography showed a severe splenic abscess. During the operation, the infected spleen was resected first. We subsequently removed all of the diseased aorta and performed in situ aortic reconstruction with an artificial tube graft and without extracorporeal circulation. The patient had an uneventful postoperative clinical course and recovered very well during the 4-year follow-up. In summary, our case report details the successful surgical treatment of coarctation of the aorta with infective endaortitis and a splenic abscess and thoroughly discusses the indications and key notes for surgery without extracorporeal circulation in this complex disease.

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Section: Discussionmentioning

confidence: 99%

Successful surgical management of coarctation of the aorta with infective endaortitis and splenic abscess: a case report

Wang

Chen

2020

J Int Med Res

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“…Yet, there are few reports on the association between pseudoaneurysms and CoA. Oi et al [8] and Prifti et al [9] reported that an aneurysm was formed at the periphery of the coarctation, and attributed to a jet stream of aortic stenosis. In addition, the location of aneurysm was more peripheral than that of stenosis.…”

Section: Discussionmentioning

confidence: 99%

A rare case of pseudoaneurysm at the site of untreated coarctation of the aorta in an adult patient

Mikami

Kamada

Uchiyama

et al. 2020

Gen Thorac Cardiovasc Surg

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Here we report a rare case of pseudoaneurysm at the site of aortic coarctation. Aortic coarctation and a saccular aortic aneurysm protruding from the site of this coarctation were detected in a 50-year-old woman. Owing to the shape of the aneurysm and high risk of rupture, an open surgical repair was performed. The pathological findings of the removed aneurysm revealed a pseudoaneurysm consisting of only a thin adventitial wall. Adult uncorrected aortic coarctation has a poor prognosis. One of its causes may be the formation of such a pseudoaneurysm.

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“…If left untreated Coarctation of aorta might result in hypertension, ascending aortic aneurysm, cardiac failure, endarteritis, and descending aortic aneurysms. The aortic pseudo aneurysm usually occurs in patients with endarteritis [ 4 ]. Enlarged third and fourth intercostal arteries at the aortic origin may also result in saccular aneurysms, but not before the age of 10 years [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

A ruptured descending thoracic aorta pseudo aneurysm in a child presented with chest pain having untreated aortic coarctation: A case report

Deme,

Tessema,

Gemeda

et al. 2023

International Journal of Surgery Case Reports

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Pseudoaneurysm of the Descending Aorta Complicating an Untreated Aortic Coarctation

Cited by 6 publications

References 8 publications

Successful surgical management of coarctation of the aorta with infective endaortitis and splenic abscess: a case report

Successful surgical management of coarctation of the aorta with infective endaortitis and splenic abscess: a case report

A rare case of pseudoaneurysm at the site of untreated coarctation of the aorta in an adult patient

A ruptured descending thoracic aorta pseudo aneurysm in a child presented with chest pain having untreated aortic coarctation: A case report

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