Endovascular Technique for Repair of Descending Thoracic Aortic Aneurysm After Coarctation Operation

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• 作者：Heike Baumgarten ; MD^a ; John J. Squiers ; BSE^a ; William T. Brinkman ; MD^b ; Javier Vasquez Jr. ; MD^b ; ^{javierv@baylorhealth.edu}
• 刊名：The Annals of Thoracic Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：103
• 期：2
• 页码：e167-e169
• 全文大小：643 K
• 卷排序：103

文摘

The incidence of aneurysm after open surgical repair of coarctation is 11% to 24%. If the condition is left untreated, fatal rupture may occur. Thoracic endovascular aortic repair (TEVAR) has been reported as a feasible and safe alternative to open surgical repeated procedures in this context. However, TEVAR might be challenging because of the proximity of the pathologic condition to the supraaortic vessels and the ongoing presence of the coarctation. We report a unique case of a 48-year old man undergoing TEVAR because of aortic aneurysm after previous surgical coarctation treatment and successful closure of the coarctation with a vascular plug device.