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 5.4 cm in 2014 and a computed tomography (CT) aortogram revealed an 8-cm saccular aneurysm of the aortic arch around the site of the coarctation repair, involving the left subclavian artery (Fig. 1). This was treatedwith a complex hybrid thoracic endovascular aneurysm repair [1].