Fatal aortic rupture during balloon dilatation of recoarctation.
In an eight year old boy with a patch aortoplasty, the aorta ruptured during balloon angioplasty for recoarctation. At necropsy a 1.5 cm long, full thickness tear and a separate, smaller, intimal tear were found. Histological examination showed thinning of the elastic laminae of the aorta. Angioplasty for recoarctation may be dangerous in patients with a patch aortoplasty.
Balaji
S
S
Department of Cardiology, Hospital for Sick Children, London.
Oommen
R
R
Rees
P G
PG
D000800:Angioplasty, Balloon / Q000009:adverse effects*; D001017:Aortic Coarctation / Q000601:surgery / Q000628:therapy*; D001019:Aortic Rupture / Q000209:etiology*; D002648:Child; D003645:Death, Sudden / Q000209:etiology; D006801:Humans; D008297:Male; D012008:Recurrence