Bridging thoracic endovascular aneurysm repair for a late rupture following aortic coarctation angioplasty.
Introduction Thoracic endovascular aneurysm repair has been employed to treat late complications after aortic coarctation correction. However, its use in children has seldomly been reported. Case report We present the case of a 15-year-old child who presented with a ruptured aneurysm of the descending aorta complicated later by an aortic-oesophageal fistula following aortic coarctation stenting that was managed with multiple bridging endovascular interventions until a definitive repair was performed.


CONCLUSIONS
Thoracic endovascular aneurysm repair may be used successfully as a bridging intervention to a definitive repair in children with life-threatening aortic complications following aortic coarctation repair.
1Department of Angiology and Vascular Surgery,Santa Marta Hospital,Lisbon,Portugal.
Nelson F G
NF
Oliveira
1Department of Angiology and Vascular Surgery,Santa Marta Hospital,Lisbon,Portugal.
João A
JA
Castro
3Department of Pediatric Cardiology,Santa Marta Hospital,Lisbon,Portugal.
José D
JD
Martins
1Department of Angiology and Vascular Surgery,Santa Marta Hospital,Lisbon,Portugal.
Anita
A
Quintas
3Department of Pediatric Cardiology,Santa Marta Hospital,Lisbon,Portugal.
Sérgio
S
Laranjo
1Department of Angiology and Vascular Surgery,Santa Marta Hospital,Lisbon,Portugal.
Hugo
H
Valentim
1Department of Angiology and Vascular Surgery,Santa Marta Hospital,Lisbon,Portugal.
Fátima
F
Pinto
1Department of Angiology and Vascular Surgery,Santa Marta Hospital,Lisbon,Portugal.
Luís M
LM
Capitão
D000293:Adolescent; D017130:Angioplasty / Q000009:adverse effects*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001017:Aortic Coarctation / Q000601:surgery*; D000072226:Computed Tomography Angiography; D004937:Esophageal Fistula / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D015607:Stents / Q000009:adverse effects*; D019616:Thoracic Surgical Procedures
Aortic coarctation; aortic-oesophageal fistula; thoracic aneurysm rupture; thoracic endovascular aneurysm repair