Giant aneurysms associated with aortic coarctation: management challenges and options.
The management of giant aneurysms associated with aortic coarctation is challenging. The location, the size of the aneurysm, whether it has ruptured, previous coarctation repair, the presence of stenosis, and the ascending and distal aortic pathology will all influence the treatment approach. With more patients surviving to adulthood after early coarctation repair, a better understanding of the anatomy, pathophysiology, and radiological findings of coarctation-related aneurysms is imperative to providing sound care. We present here our experience with a series of giant aneurysms of the aorta, all with a background of underlying aortic coarctation. We highlight the decision-making process and review current management trends.
Wessex Cardiothoracic Centre/Congenital Cardiac Centre, Southampton University Hospitals NHS Trust, Southampton, UK. hunaidvohra@yahoo.co.uk
Hunaid A
HA
Vohra
Allan
A
Odurny
Subhendu
S
Mandal
Nicola
N
Viola
Markku
M
Kaarne
Tony
T
Salmon
Charles
C
Peebles
Marcus P
MP
Haw
Gruschen
G
Veldtman
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery*; D017130:Angioplasty; D001013:Aorta, Thoracic / Q000002:abnormalities; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities / Q000601:surgery; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D004452:Echocardiography; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D015607:Stents; D013908:Thoracotomy
D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene