Thoracic aortic aneurysm: a late complication of coarctation repair

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Thoracic aortic aneurysm: a late complication of coarctation repair

A 67-year-old female patient had a patch repair of an aortic coarctation in 1972 and a mechanical aortic valve replacement in 2002 for a bicuspid valve. It was noted at the time of the repair that the aorta was ectatic and regular follow-up was suggested. She was followed up with yearly echocardiograms. It was noted that the diameter of descending aorta had increased to from 4.5 cm in 2013 to 5...

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Hybrid repair of a very late, post-aortic coarctation surgery thoracic aneurysm: a case report

INTRODUCTION Local aneurysms after surgical repair of coarctation of the aorta occur mainly in patients surgically treated by Dacron patch plasty during adulthood. The management of these patients is always problematic, with frequent complications and increased mortality rates. Percutaneous stent-graft implantation avoids the need for surgical reintervention. CASE PRESENTATION We report a cas...

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A 69-year-old man underwent thoracic endovascular aortic repair of a descending aortic aneurysm. Three years later, he developed impending rupture due to aneurysmal expansion that included the proximal landing zone. Urgent open surgery was performed via lateral thoracotomy, and a Dacron graft was sewn to the previous stent graft distally with Teflon felt reinforcement. Postoperatively, four seq...

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

BACKGROUND In 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 TAA...

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Aortic coarctation (AC) represents -7% of congenital cardiac diseases and is usually diagnosed in childhood or early adult Life, depending on the severity of obstruction and associated malformations. Left untreated fewer than 20% of patients survive to age 50. We describe a case of thoracic AC, diagnosed at age 61, in a woman with known hypertension since age 45. At age 56 the patient was admit...

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ژورنال

عنوان ژورنال: Oxford Medical Case Reports

سال: 2016

ISSN: 2053-8855

DOI: 10.1093/omcr/omw024