Percutaneous treatment of late‐aortic pseudoaneurysm resulting from surgical repair of aortic coarctation

• Published in: Catheterization and cardiovascular interventions Vol. 78; no. 4; pp. 619 - 624
• Main Authors: Aslam, Mohammad Shakil, Haddadian, Babak, Bajwa, Tanvir
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.10.2011
• Subjects: Adult; Amplatzer vascular plug; Aneurysm, False - diagnostic imaging; Aneurysm, False - etiology; Aneurysm, False - therapy; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - etiology; Aortic Aneurysm, Thoracic - therapy; aortic coarctation; Aortic Coarctation - surgery; aortic pseudoaneurysm; Aortography - methods; coil embolization; Embolization, Therapeutic - instrumentation; Female; Humans; percutaneous treatment; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; Vascular Surgical Procedures - adverse effects
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.22910

We describe the case of a 38‐year‐old woman who presented with symptoms of chest pain and shortness of breath that had worsened over the previous 6 months and was found to have a large pseudoaneurysm (PSA) of the thoracic aorta. She underwent surgical repair of aortic coarctation at the age of 16 and a revision of her bypass graft at age 28 when she presented with hemoptysis due to aortic PSA and aortobronchial fistula. Our cardiothoracic surgical team deemed a third surgery very high risk; therefore, she was referred to us for percutaneous repair of aortic PSA. We describe the successful treatment of the PSA using a technique of microcoil embolization and Amplatzer® vascular plug (AGA Medical Corp., Plymouth, MN).© 2011 Wiley‐Liss, Inc.