Late thoracic aortic dissecting aneurysm following balloon angioplasty for recoarctation after subclavian flap aortoplasty in childhood--successful surgical repair under circulatory arrest.
Balloon angioplasty is universally accepted presently as the primary therapeutic strategy for recoarctation following surgery during infancy and early childhood. This report concerns a 26-year-old lady with cephalobrachial hypertension on beta-blocker who presented with left sided chest pain since 3 months, having undergone surgery for coarctation in early childhood and balloon angioplasty at 17 years of age. Chest X-ray showed prominent aortic knuckle. CT scan chest showed features of residual coarctation with "double-barrelled" upper thoracic aorta of 5cm diameter. Surgery consisted of interposition graft repair of distal arch and upper thoracic aorta under total circulatory arrest through posterolateral thoracotomy leading to excellent recovery.
Unnikrishnan
Madathipat
M
Department of Cardio-Vascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695 011, India. unni@sctimst.ker.nic.in
Theodore
Sanjay
S
Peter
Arun Mathew
AM
Neema
Praveen Kumar
PK
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001017:Aortic Coarctation / Q000628:therapy*; D005260:Female; D006801:Humans; D012008:Recurrence; D014057:Tomography, X-Ray Computed