Late aneurysm of the distal aortic arch after repair of aortic interruption. A case report.
Aneurysm formation after aortic coarctation repair is not a rare complication of post-coarctation of aorta repair. We describe the case of a 43-year-old woman who had undergone repair of an isolated interruption of the aortic arch 30 years earlier, who came to our hospital with progressive chest pain, cough and dyspnea. A giant aortic aneurysm was revealed in the distal aortic arch by CT study. The patient underwent aneurysmectomy with total aortic arch replacement using a Dacron graft through redo median sternotomy. An embryologic explanation of this patient's anomaly and the previous surgical procedure are discussed for defining this rare clinical condition.
Sakakibara
Y
Y
Department of Surgery, University of Tsukuba, Japan.
Gomi
S
S
Mihara
W
W
Shigeta
O
O
Jikuya
T
T
Hori
M
M
Mitsui
T
T
D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology*
D011138:Polytetrafluoroethylene