False Aneurysm Formation at Both Anastomotic Sites after Descending Aortic Replacement for Aortic Coarctation.

Abstract:

:Prosthetic graft interposition is performed in some patients with coarctation of the aorta (CoA), and all procedures for treating CoA are associated with a risk of aneurysm formation at the site of repair. A 53-year-old woman underwent coarctectomy and descending aortic replacement with a 16-mm Dacron graft for CoA when she was 18 years old. Thirty years later, she was referred to our hospital for a false aneurysm at the proximal anastomotic site, and total arch replacement was performed to resect the false aneurysm. One year after the operation, follow-up computed tomography revealed a dissecting aneurysm on the descending aorta, originating from the distal anastomotic site, namely the first 16-mm Dacron graft and the native descending aorta. The length between the branch of the arch graft and the dissecting aneurysm was adequate for endovascular repair, which was successfully performed.

journal_name

Ann Vasc Surg

authors

Koizumi S,Fukunaga N,Kinoshita M,Koyama T

doi

10.1016/j.avsg.2017.01.021

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

313.e1-313.e3

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(16)31200-6

journal_volume

43

pub_type

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