Antegrade endovascular repair of a coarctation-associated aneurysm through an upper hemi-sternotomy.
Late aneurysm formation is a well-described complication after surgical correction of aortic coarctation. Endovascular repair of such aneurysms avoids the morbidity of conventional reoperative thoracic surgery. We describe a unique case of antegrade endovascular repair of a distal coarctation-associated aneurysm with vascular access acquired through the aortic arch by an upper hemi-sternotomy.
Division of Cardiothoracic Surgery, Columbia University College of Physicians & Surgeons, St. Luke's Roosevelt Hospital Center, New York, New York, USA. jjd11@columbia.edu
Joseph J
JJ
DeRose
Eric C
EC
Martin
Robert C
RC
Ashton
Scott
S
Belsley
Daniel G
DG
Swistel
George J
GJ
Todd
D000368:Aged; D017130:Angioplasty / Q000379:methods*; D001012:Aorta, Abdominal / Q000473:pathology; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications*; D001366:Axillary Artery / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000601:surgery; D007083:Iliac Artery / Q000473:pathology; D008408:Mastectomy; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D010027:Osteotomy; D011183:Postoperative Complications / Q000601:surgery; D015607:Stents; D013249:Sternum / Q000601:surgery*