Tratamiento endovascular de complicaciones tardías tras la reparación quirúrgica de la coartación aórtica

García‐Pavía, Pablo; Ruigómez, Javier Goicolea; López-Mínguez, José Ramón; Roldán, P.; Asensio, Juan Manuel Nogales; Domínguez, José Ramón Fernández; Segovia, Javier; Alonso‐Pulpón, Luis

doi:10.1016/s0300-8932(10)70068-3

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Although endovascular repair of the aneurysms was initiated by Dotter in 1969, the first implantation of a stengraft to treat an aneurysm of the descending aorta was reported in 1991 [23], [24]. The first reports dealing with endovascular repairs of TAA that complicated the late follow-up period after surgical correction of coarctation appeared a few years ago [9], [25], [26]. These patients are a particular group because in some cases, the anatomy is not clear (even in CTA), the mechanical properties of the native aorta and the artificial patch are different (which makes endovascular procedures less safer, and technically more demanding), the aortic arch may be hypoplastic or the aneurysm may be preceded by restenosis that requires balloon dilatation [27].…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Late Thoracic Aortic Aneurysms after Surgical Repair of Congenital Aortic Coarctation in Childhood

et al. 2013

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BackgroundIn some patients, local surgery-related complications are diagnosed many years after surgery for aortic coarctation. The purposes of this study were: (1) to systematically evaluate asymptomatic adults after Dacron patch repair in childhood, (2) to estimate the formation rate of secondary thoracic aortic aneurysms (TAAs) and (3) to assess outcomes after intravascular treatment for TAAs.MethodsThis study involved 37 asymptomatic patients (26 female and 11 male) who underwent surgical repair of aortic coarctation in the childhood. After they had reached adolescence, patients with secondary TAAs were referred to endovascular repair.ResultsFollow-up studies revealed TAA in seven cases (19%) (including six with the gothic type of the aortic arch) and mild recoarctation in other six (16%). Six of the TAA patients were treated with stentgrafts, but one refused to undergo an endovascular procedure. In three cases, stengrafts covered the left subclavian artery (LSA), in another the graft was implanted distally to the LSA. In two individuals, elective hybrid procedures were performed with surgical bypass to the supraaortic arteries followed by stengraft implantation. All subjects survived the secondary procedures. One patient developed type Ia endoleak after stentgraft implantation that was eventually treated with a debranching procedure.ConclusionsThe long-term course of clinically asymptomatic patients after coarctation patch repair is not uncommonly complicated by formation of TAAs (particularly in individuals with the gothic pattern of the aortic arch) that can be treated effectively with stentgrafts. However, in some patients hybrid procedures may be necessary.

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Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Late Thoracic Aortic Aneurysms after Surgical Repair of Congenital Aortic Coarctation in Childhood

et al. 2013

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Cardiac device to plug an aorto-bronchial fistula

et al. 2022

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Background Post-coarctoplasty aortic pseudoaneurysms constitute a lethal problem occurring in up to 38% of patients with a history of aortic coarctation surgical repair. Such pseudoaneurysms are prone to rupture if managed conservatively and high mortality and morbidity if treated with open surgery. Therefore, the endovascular approach has been proposed for their management. Case report We describe a patient with a post-coarctoplasty aortic pseudoaneurysm complicated by an aortobronchial fistula. The case was treated via the endovascular approach (thoracic endovascular aortic repair and endovascular coarctoplasty) with an atrial septal defect occluder device. Conclusions Endovascular repair is a feasible, safe, and promising treatment for thoracic aortic pseudoaneurysms secondary to coarctation repair.

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

Hörmann

Pavlidis

Brunkwall

et al. 2011

Interactive CardioVascular and Thoracic Surgery

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Tratamiento endovascular de complicaciones tardías tras la reparación quirúrgica de la coartación aórtica

Cited by 3 publications

References 10 publications

Endovascular Treatment of Late Thoracic Aortic Aneurysms after Surgical Repair of Congenital Aortic Coarctation in Childhood

Endovascular Treatment of Late Thoracic Aortic Aneurysms after Surgical Repair of Congenital Aortic Coarctation in Childhood

Cardiac device to plug an aorto-bronchial fistula

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

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