TEVAR in Patients With Late Complications of Aortic Coarctation Repair

Midulla, Marco; Dehaene, A.; Godart, François; Lions, Christophe; Decoene, Christophe; Willoteaux, S.; Koussa, Mohamad; Rey, Christian; Prat, Alain; Beregi, Jean‐Paul

doi:10.1583/08-2436.1

Cited by 36 publications

(24 citation statements)

References 17 publications

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“…Simultaneously, fistulization between the left main bronchus and the aneurysm sac developed. This could finally be resolved with a left pneumonectomy, complete excision of the descending aorta, Midulla et al 8 Gawenda et al 12 Bell et al 13 Ince et al 14 Kpodonu et al 15 Botta et al 16 Kutty et al 17 Gallino et al 18 Denton et al 19 DeRose et al 20 Kokov et al 21 Smayra et al 22 Groenemeijer et al 23 Total and revascularization by an extra-anatomic bypass (Gelsoft) from the aortic arch to the abdominal aorta just proximal to the truncus celiacus, with complete recovery thereafter.…”

Section: Resultsmentioning

confidence: 99%

“…Other factors that contribute in aneurysm shaping include excessive wall stress transforming through the rigid patch onto the more elastic wall opposite to the patch, damage of the intima, excessive excision of the coarctation, infection, necrosis of the aortic wall, and suture fracture. 2,[7][8][9][10][11] Patients with bicuspid aortic valve develop this aortic enlargement. This is independent of hemodynamic abnormalities.…”

Section: Discussionmentioning

confidence: 99%

“…In one patient, a subclavian flap aortoplasty was performed, and for one patient, the primary procedure was unknown. The median age at the primary coarctation repair was 6 years (range, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Thoracic Endovascular Aortic Repair for Treatment of Late Complications After Aortic Coarctation Repair

Yazar

Budts

Maleux

et al. 2011

Annals of Vascular Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Thoracic Endovascular Aortic Repair for Treatment of Late Complications After Aortic Coarctation Repair

Yazar

Budts

Maleux

et al. 2011

Annals of Vascular Surgery

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“…Up to 10% of patients who underwent surgical repair of neonatal aortic coarctation will develop recurrence as an adult [16]. These patients can frequently have associated aortic diseases such as pseudo-aneurysm at the anastomosis or aneurysmal formation of the surrounding aortic tissues [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Is endovascular repair the new gold standard for primary adult coarctation?☆

Wheatley

Koullias

Rodriguez‐Lopez

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…Reported case series show that TEVAR is relatively safe and by guest on May 9, 2018 http://circinterventions.ahajournals.org/ Downloaded from effective for treating aneurysms associated with CoA repair, with major complications and mortality uncommon and few reported cases of post-TEVAR aortic rupture. 39,41,[43][44][45][46] …”

Section: Treatment Of Postoperative Awi and Abnormalitiesmentioning

confidence: 99%

Aortic Wall Injury Related to Endovascular Therapy for Aortic Coarctation

Tretter

Jones

McElhinney

2015

Circ: Cardiovascular Interventions

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Abstract-Aortic wall complications can occur in unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. This review summarizes the available literature and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on acute and follow-up AWI after endovascular treatment.There have been 23 reported cases of aortic rupture after endovascular treatment for CoA, including angioplasty alone, bare metal stenting, and primary covered stent therapy. Even if these published cases represent only a minority of ruptures that have actually occurred, the incidence is substantially <1%. The incidence of acute aneurysm formation was 0% to 13% after angioplasty, 0% to 5% after bare metal stent placement, and <1% after covered stent placement. The reported incidence and natural history of both acute and new AWI during follow-up after endovascular therapy for CoA varies considerably, likely secondary to ascertainment and reporting biases and inconsistent definitions. Although important AWI after endovascular treatment of CoA seems to be declining in frequency with increasing experience and improving technology, it remains one of the most important potential adverse outcomes. Long-term surveillance for new AWI and monitoring of existing AWI is mandatory, with institution of appropriate treatment when necessary. A central research focus in this population should be determination of the appropriate treatment for both native and recurrent CoA across various ages with regard to limiting recurrent CoA and preventing associated aortic wall complications, in addition to determining the appropriate treatment of various AWI. Consistent definitions and reporting are necessary to truly understand the incidence of, risk factors for, and measures protective against AWI after angioplasty or stent implantation for CoA. Contemporary Reviews in Interventional CardiologyA ortic wall complications can occur in both unrepaired aortic coarctation (CoA) and after surgical repair or endovascular treatment. In this review, we summarize the literature on and current understanding of aortic wall injury (AWI) surrounding the management of CoA, focusing specifically on endovascular treatment. Before reviewing AWI related to balloon angioplasty (BA) and stent therapy, it is important to set the context by providing an overview of historical, anatomic, and physiological factors that may be related to aortic wall complications in CoA patients, as well as a brief discussion of AWI in patients with surgically repaired CoA.

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TEVAR in Patients With Late Complications of Aortic Coarctation Repair

Abstract: TEVAR is a feasible alternative treatment for patients who have already undergone surgical repair of aortic coarctation. Technical issues regarding the endovascular strategy should be discussed with a multidisciplinary team to define the correct interventional plan.

Cited by 36 publications

References 17 publications

Thoracic Endovascular Aortic Repair for Treatment of Late Complications After Aortic Coarctation Repair

Thoracic Endovascular Aortic Repair for Treatment of Late Complications After Aortic Coarctation Repair

Is endovascular repair the new gold standard for primary adult coarctation?☆

Aortic Wall Injury Related to Endovascular Therapy for Aortic Coarctation

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