title: Successful deployment of an iliac limb graft to repair acute aortic rupture after balloon aortoplasty of recoarctation in a child with Turner syndrome.
abstract: Aortic rupture is a rare but potentially catastrophic complication following a balloon aortoplasty for recoarctation. The treatment of aortic ruptures remains challenging. We present here a 9-year-old girl with Turner syndrome who experienced a life-threatening rupture in her aorta after a balloon aortoplasty for recoarctation. She was successfully rescued by the antegrade deployment of a commercially available iliac limb extension stent-graft via an ascending aortic conduit. Prudent balloon aortoplasty for recoarctation in patients with Turner syndrome is important due to their inherent aortopathy and previous surgical repairs. Possible reasons for an aortic rupture are oversized ballooning and the choice of balloon diameter based only on an angiographic measurement. In agreement with earlier reports, our case also confirms the importance of keeping a commercially available stent graft available to treat this complication that has potentially fatal consequences.
authors.affiliation: Cardiovascular Division, Department of Surgery, National Taiwan University Hospital, No. 7 Chung-Shan S. Road, Taipei, Taiwan.
authors.forename: I-Hui
authors.initials: IH
authors.lastname: Wu
authors.forename: Mei-Hwan
authors.initials: MH
authors.lastname: Wu
authors.forename: Shy-Jye
authors.initials: SJ
authors.lastname: Chen
authors.forename: Shoei-Shen
authors.initials: SS
authors.lastname: Wang
authors.forename: Chung-I
authors.initials: CI
authors.lastname: Chang
mesh_terms: D000208:Acute Disease; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002404:Catheterization / Q000009:adverse effects*; D002648:Child; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D012008:Recurrence; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014424:Turner Syndrome / Q000150:complications*