Abstract
BackgroundAortic coarctation is currently treated by both surgical and transcatheter methods. Patients can present with late complication of prior surgical repair including recoarctation and aneurysm formation. There are limited reports on safety and efficacy of thoracic endovascular aortic repair methods (TEVAR) in post-coarctation repair patients.Case presentationWe report an adult patient with aortic aneurysm formation following surgical coarctoplasty successfully treated with transcatheter TEVAR method obviating the need for open heart surgery.ConclusionEndovascular repair of aneurysms in post-coarctoplasty patients is a promising method and should be considered in those with suitable anatomy based on prior imaging.
Highlights
Aortic coarctation is currently treated by both surgical and transcatheter methods
Coarctation repair can improve the survival and prognosis if the intervention is performed in time [2]
Case presentation A 25-year-old female with history of surgical repair of coarctation in infancy and percutaneous device closure of a mid-muscular ventricular septal defect (VSD) at age eighteen presented to our adult congenital clinic for routine follow-up
Summary
Aortic coarctation refers to the congenitally stenotic aorta, more commonly found near the ligamentum arteriosum and adjacent to the left subclavian artery [1]. Coarctation of the aorta occurs in one out of 2500 live births with a male to female ratio of 2:1 and is treated either surgically or percutaneously. We report a patient with postoperative complication treated successfully by catheter intervention. Case presentation A 25-year-old female with history of surgical repair of coarctation in infancy and percutaneous device closure of a mid-muscular ventricular septal defect (VSD) at age eighteen presented to our adult congenital clinic for routine follow-up. She stated that she was asymptomatic and had. Follow-up CT angiography showed complete exclusion of the aneurysm with no complications (Fig. 6). At 1year follow-up post-intervention, the patient was doing well with no reported worrisome issues
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