RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00039245.xml

CC BY 4.0 · Aorta (Stamford) 2018; 06(02): 059-064
DOI: 10.1055/s-0038-1669435
DOI: 10.1055/s-0038-1669435
Case Report
Therapeutic Alternatives in the Management of Late Complications of Surgery for Isolated Coarctation of the Aorta
Funding None.Weitere Informationen
Publikationsverlauf
15. Januar 2018
12. Juni 2018
Publikationsdatum:
12. September 2018 (online)

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
- 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
- 3 Bricknell C, Hamady M. Aneurysmal complications of coarctation. Endovascular Today 2015; 75-78
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 17 Tabry IF. An alternative to median sternotomy for repair of complex coarctation. Ann Thorac Surg 2015; 99 (02) 748
- 18 Galiñanes EL, Krajcer Z. Most coarctations, recoarctations and coarctation-related aneurysms should be treated endovascularly. Aorta (Stamford) 2015; 3 (04) 136-139