Bridging thoracic endovascular aneurysm repair for a late rupture following aortic coarctation angioplasty

Cardiol Young. 2016 Jun;26(5):957-60. doi: 10.1017/S1047951115001699. Epub 2015 Sep 8.

Abstract

Introduction Thoracic endovascular aneurysm repair has been employed to treat late complications after aortic coarctation correction. However, its use in children has seldomly been reported. Case report We present the case of a 15-year-old child who presented with a ruptured aneurysm of the descending aorta complicated later by an aortic-oesophageal fistula following aortic coarctation stenting that was managed with multiple bridging endovascular interventions until a definitive repair was performed.

Conclusion: Thoracic endovascular aneurysm repair may be used successfully as a bridging intervention to a definitive repair in children with life-threatening aortic complications following aortic coarctation repair.

Keywords: Aortic coarctation; aortic-oesophageal fistula; thoracic aneurysm rupture; thoracic endovascular aneurysm repair.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Angioplasty / adverse effects*
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Coarctation / surgery*
  • Computed Tomography Angiography
  • Esophageal Fistula / surgery*
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Postoperative Complications / surgery*
  • Stents / adverse effects*
  • Thoracic Surgical Procedures