Download PDF
CC BY 4.0 · Aorta (Stamford) 2018; 06(02): 059-064
DOI: 10.1055/s-0038-1669435
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Therapeutic Alternatives in the Management of Late Complications of Surgery for Isolated Coarctation of the Aorta

Imad Tabry
1   Section of Cardiac Surgery, Department of Surgery, Holy Cross Hospital, Fort Lauderdale, Florida
,
Michael Rush
1   Section of Cardiac Surgery, Department of Surgery, Holy Cross Hospital, Fort Lauderdale, Florida
› Author Affiliations Funding None.
Further Information

Publication History

15 January 2018

12 June 2018

Publication Date:
12 September 2018 (online)

   Permissions and Reprints

Abstract

Despite initial technical success in the treatment of coarctation of aorta, late recurrence and/or development of aneurysms and pseudoaneurysms frequently prompt reintervention. The authors hereby present such a patient whose management required more than a single intervention to treat his complex anatomy, and they discuss the therapeutic alternatives under similar circumstances.

Keywords

graft interposition for repair of coarctation - recurrence of coarctation - development of anastomotic aneurysms and pseudoaneurysms - endovascular stenting for recurrent coarctation - hybrid approach for repair of late complications - ascending to descending aorta bypass grafting through right thoracotomy off-pump
 

  • References

  • 1 Powell WR, Adams PR, Cooley DA. Repair of coarctation of the aorta associated with intracardiac repair. Tex Heart Inst J 1983; 10 (04) 409-413
    PubMedGoogle Scholar
  • 2 Edie RN, Janani J, Attai LA, Malm JR, Robinson G. Bypass grafts for recurrent or complex coarctations of the aorta. Ann Thorac Surg 1975; 20 (05) 558-566
    CrossrefPubMedGoogle Scholar
  • 3 Bricknell C, Hamady M. Aneurysmal complications of coarctation. Endovascular Today 2015; 75-78
    PubMedGoogle Scholar
  • 4 Hörer T, Toivola A. Endovascular repair of a ruptured aortic extra-anatomic bypass pseudoaneurysm after previous coarctation surgery. Innovations (Phila) 2015; 10 (05) 370-372
    CrossrefPubMedGoogle Scholar
  • 5 Knyshov GV, Sitar LL, Glagola MD, Atamanyuk MY. Aortic aneurysms at the site of the repair of coarctation of the aorta: a review of 48 patients. Ann Thorac Surg 1996; 61 (03) 935-939
    CrossrefPubMedGoogle Scholar
  • 6 Smayra T, Otal P, Soula P. , et al. Pseudoaneurysm and aortobronchial fistula after surgical bypass for aortic coarctation: management with endovascular stent-graft. J Endovasc Ther 2001; 8 (04) 422-428 , 422–428
    CrossrefPubMedGoogle Scholar
  • 7 Marcheix B, Lamarche Y, Perrault P. , et al. Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation. Eur J Cardiothorac Surg 2007; 31 (06) 1004-1007
    CrossrefPubMedGoogle Scholar
  • 8 Idrees J, Arafat A, Svensson LG, Clair D, Roselli EE. Hybrid repair of aortic aneurysm in patients with previous coarctation. J Thorac Cardiovasc Surg 2014; 148 (01) 60-64
    CrossrefPubMedGoogle Scholar
  • 9 Koletsis E, Ekonomidis S, Panagopoulos N, Tsaousis G, Crockett J, Panagiotou M. Two stage hybrid approach for complex aortic coarctation repair. J Cardiothorac Surg 2009; 4: 10
    CrossrefPubMedGoogle Scholar
  • 10 Roselli EE, Qureshi A, Idrees J. , et al. Open, hybrid, and endovascular treatment for aortic coarctation and postrepair aneurysm in adolescents and adults. Ann Thorac Surg 2012; 94 (03) 751-756 , discussion 757–758
    CrossrefPubMedGoogle Scholar
  • 11 Shih MC, Tholpady A, Kramer CM, Sydnor MK, Hagspiel KD. Surgical and endovascular repair of aortic coarctation: normal findings and appearance of complications on CT angiography and MR angiography. AJR Am J Roentgenol 2006; 187 (03) W302-12
    PubMedGoogle Scholar
  • 12 Izhar U, Schaff HV, Mullany CJ, Daly RC, Orszulak TA. Posterior pericardial approach for ascending aorta-to-descending aorta bypass through a median sternotomy. Ann Thorac Surg 2000; 70 (01) 31-37
    CrossrefPubMedGoogle Scholar
  • 13 Said SM, Burkhart HM, Dearani JA, Connolly HM, Schaff HV. Ascending-to-descending aortic bypass: a simple solution to a complex problem. Ann Thorac Surg 2014; 97 (06) 2041-2047 , discussion 2047–2048
    CrossrefPubMedGoogle Scholar
  • 14 Kumar MV, Choudhary SK, Talwar S. , et al. Extraanatomic bypass to supraceliac abdominal aorta for complex thoracic aortic obstruction. Ann Thorac Surg 2016; 101 (04) 1552-1557
    CrossrefPubMedGoogle Scholar
  • 15 Arakelyan V, Spiridonov A, Bockeria L. Ascending-to-descending aortic bypass via right thoracotomy for complex (re-) coarctation and hypoplastic aortic arch. Eur J Cardiothorac Surg 2005; 27 (05) 815-820
    CrossrefPubMedGoogle Scholar
  • 16 Tabry IF, Zachariah ZP. Right thoracotomy approach for repair of recurrent or complex coarctation of the aorta using an extra-anatomic ascending aorta to descending aorta bypass graft off-pump. Multimed Man Cardiothorac Surg 2013; 2013: mms021
    PubMedGoogle Scholar
  • 17 Tabry IF. An alternative to median sternotomy for repair of complex coarctation. Ann Thorac Surg 2015; 99 (02) 748
    PubMedGoogle Scholar
  • 18 Galiñanes EL, Krajcer Z. Most coarctations, recoarctations and coarctation-related aneurysms should be treated endovascularly. Aorta (Stamford) 2015; 3 (04) 136-139
    Article in Thieme ConnectPubMedGoogle Scholar