title: Percutaneous treatment of late-aortic pseudoaneurysm resulting from surgical repair of aortic coarctation.
abstract: We describe the case of a 38-year-old woman who presented with symptoms of chest pain and shortness of breath that had worsened over the previous 6 months and was found to have a large pseudoaneurysm (PSA) of the thoracic aorta. She underwent surgical repair of aortic coarctation at the age of 16 and a revision of her bypass graft at age 28 when she presented with hemoptysis due to aortic PSA and aortobronchial fistula. Our cardiothoracic surgical team deemed a third surgery very high risk; therefore, she was referred to us for percutaneous repair of aortic PSA. We describe the successful treatment of the PSA using a technique of microcoil embolization and Amplatzer® vascular plug (AGA Medical Corp., Plymouth, MN).
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health, Milwaukee, Wisconsin, USA.
authors.forename: Mohammad Shakil
authors.initials: MS
authors.lastname: Aslam
authors.forename: Babak
authors.initials: B
authors.lastname: Haddadian
authors.forename: Tanvir
authors.initials: T
authors.lastname: Bajwa
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001017:Aortic Coarctation / Q000601:surgery*; D001027:Aortography / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation; D005260:Female; D006801:Humans; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*