title: Endovascular Technique for Repair of Descending Thoracic Aortic Aneurysm After Coarctation Operation.
abstract: The incidence of aneurysm after open surgical repair of coarctation is 11% to 24%. If the condition is left untreated, fatal rupture may occur. Thoracic endovascular aortic repair (TEVAR) has been reported as a feasible and safe alternative to open surgical repeated procedures in this context. However, TEVAR might be challenging because of the proximity of the pathologic condition to the supraaortic vessels and the ongoing presence of the coarctation. We report a unique case of a 48-year old man undergoing TEVAR because of aortic aneurysm after previous surgical coarctation treatment and successful closure of the coarctation with a vascular plug device.
authors.affiliation: Baylor, Scott & White Research Institute, Dallas, Texas.
authors.forename: Heike
authors.initials: H
authors.lastname: Baumgarten
authors.affiliation: Baylor, Scott & White Research Institute, Dallas, Texas.
authors.forename: John J
authors.initials: JJ
authors.lastname: Squiers
authors.affiliation: The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: William T
authors.initials: WT
authors.lastname: Brinkman
authors.affiliation: The Heart Hospital Baylor Plano, Plano, Texas. Electronic address: javierv@baylorhealth.edu.
authors.forename: Javier
authors.initials: J
authors.lastname: Vasquez
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D000072226:Computed Tomography Angiography / Q000379:methods; D057510:Endovascular Procedures / Q000295:instrumentation* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D018570:Risk Assessment; D055989:Septal Occluder Device; D016896:Treatment Outcome