Management of re-coarctation due to prosthetic graft pseudo-intimal dissection.
Re-coarctation is a recognised late complication of surgical coarctation repair. Re-operation in these patients is difficult and the role of surgery has been partly subsumed by balloon angioplasty and endovascular stenting. We describe a patient who twice developed re-coarctation, the second time because of a raised pseudo-intimal flap within an interposition graft. It was managed successfully with an ascending-descending aorta extra-anatomic graft.
Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Maninder S
MS
Kalkat
Sara A
SA
Thorne
Peter
P
Guest
Robert S
RS
Bonser
D000180:Acrylic Resins; D001017:Aortic Coarctation / Q000209:etiology* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006083:Graft Occlusion, Vascular / Q000150:complications* / Q000601:surgery*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D011475:Prosthesis Failure; D012008:Recurrence
D000180:Acrylic Resins; C010504:polyacrylonitrile