Aortic recoarctation and pseudoaneurysm five decades after repair

J Card Surg. 2019 Nov;34(11):1374-1376. doi: 10.1111/jocs.14201. Epub 2019 Aug 17.

Abstract

Background: Coarctation of the aorta is a congenital cardiac defect characterized by a narrowing of the proximal thoracic aorta. Despite excellent long-term results, surgical repair is rarely complicated by recoarctation.

Methods/results: We describe a case with the longest time to reintervention to date, featuring surgical repair of delayed aortic recoarctation and pseudoaneurysm 53 years after the initial operation.

Discussion: This case emphasizes the need for lifelong surveillance in this patient population and exemplifies a multidisciplinary approach in evaluating treatment options of complex aortic pathology, including open and endovascular considerations.

Keywords: aorta and great vessels; congenital heart disease.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False*
  • Aortic Aneurysm*
  • Aortic Coarctation*
  • Humans
  • Postoperative Complications*
  • Recurrence
  • Time Factors