Document Detail

Endoluminal stent-graft repair in a patient with coarctation of the aorta and previous iatrogenic type B aortic dissection and expanding pseudoaneurysm.
MedLine Citation:
PMID:  18840039     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report endoluminal repair of aortic coarctation in a patient with a chronic type B aortic dissection presenting with an expanding pseudoaneurysm after failure of surgical repair. CASE REPORT: This 30-year-old man with a congenital coarctation of the aorta suffered an iatrogenic type B aortic dissection during angiography at the age of 6. Emergent surgery at that time included a left subclavian artery-to-distal thoracic aorta surgical conduit; the coarctation itself was not repaired. The patient presented 24 years after the surgery with a chronic distal extension of the dissection and a pseudoaneurysm severely compressing the aortic true lumen; the disrupted surgical conduit drained into the false lumen. In a novel approach, the true aortic lumen was intentionally occluded, and the surgical conduit was secured with stent-grafts to successfully exclude the pseudoaneurysm from the circulation. CONCLUSION: Type B dissection and coarctation of the aorta, in the setting of complex aortic pathology and comorbidities, can be treated with an endovascular approach.
Lawrence Rajan; Kathryn Dougherty; Zvonimir Krajcer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  15     ISSN:  1545-1550     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-08     Completed Date:  2009-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  558-65     Citation Subset:  IM    
Department of Cardiology, Texas Heart Institute, and St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
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MeSH Terms
Aneurysm, Dissecting / classification,  complications*
Aneurysm, False / complications*
Aortic Aneurysm, Thoracic / complications*
Aortic Coarctation / complications*,  surgery*
Iatrogenic Disease

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