Endovascular covered stent treatment for descending aorta pseudoaneurysm following coarctation of the aorta repair in an infant.
The development of a pseudoaneurysm is a rare complication following repair of a coarctation of the aorta. Surgical management of pseudoaneurysms is associated with high morbidity and mortality. We describe the successful endovascular deployment of a covered stent in a sick infant with a descending aorta pseudoaneurysm, following the repair of an aortic coarctation. We highlight the challenges we encountered. Endovascular repair is a safe palliative alternative to re-do open surgery in unstable infants with large pseudoaneurysms following aortic coarctation repair. The role of endovascular stents as the final definitive therapy will remain limited by the deployable, small-size stents in small, growing children.
Takawira
Farirai F
FF
Department of Paediatric Cardiology, Steve Biko Academic Hospital and University of Pretoria, Pretoria, South Africa. fari.takawira@up.ac.za
Sinyangwe
Greenwood
G
Mooloo
Rene
R
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D001017:Aortic Coarctation / Q000601:surgery*; D002404:Catheterization; D006801:Humans; D007223:Infant; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D015607:Stents