Skip to main content
SpringerLink
Log in

An unexpected finding late after repair of coarctation of the aorta

  • case report
  • Published:
Netherlands Heart Journal Aims and scope Submit manuscript

Abstract

We describe a late complication in a 75-year-old man 50 years after repair of a coarctation of the aorta (CoA). Two years after an aortic valve replacement, mitral valve repair and radiofrequency MAZE the patient presented with dyspnoea and right-sided heart failure, based on a large pseudoaneurysm of the descending aorta, compressing the main bronchus and possibly temporarily the pulmonary arterial system. After sealing the aneurysm with an endovascular stent the patient recovered uneventfully. Recommendations are made for follow-up in patients after repair of CoA. (Neth Heart J 2008;16:260-3.)

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. Therrien J, Webb GD. Congenital heart disease in adults. In: Chapter 44; Braunwald E, Zipes DP, Libby P. Heart disease, a textbook of cardiovascular medicine. W.B. Saunders Company, Philadelphia, 2001, 1592-21.

  2. Pieper PG. Coarctatio aortae. In: Chapter 9; Mulder BJM, Pieper PG, Meijboom FJ, Hamer JPM. Leerboek aangeboren hartafwijkingen bij volwassenen. Bohn Stafleu van Loghum, Houten, 2006:61-74.

  3. Swan L, Wilson N, Houston AB, et al. The long-term management of the patient with an aortic coarctation repair. Eur Heart J 1998;19:382-6.

    Google Scholar 

  4. Abbruzzese PA, Aidala E. Aortic coarctation: an overview. J Cardiovasc Med 2007;8:123-8.

    Google Scholar 

  5. Nihoyannopoulos P, Karas S, Sapsford RN, et al. Accuracy of twodimensional echocardiography in the diagnosis of aortic arch obstruction. J Am Coll Cardiol 1987;10:1072-7.

    Google Scholar 

  6. Levine JC, Sanders SP, Colan SD, et al. The risk of having additional obstructive lesions in neonatal coarctation of the aorta. Cardiol Young 2001;11:44-53.

    Google Scholar 

  7. Rudolph AM, Heymann MA, Spitznas U. Hemodynamic considerations in the development of narrowing of the aorta. Am J Cardiol 1972;30:514-25.

    Google Scholar 

  8. D’Souza SJ, Tsai WS, Silver MM, et al. Diagnosis and management of stenotic aorto-arteriopathy in childhood. J Pediatr 1998;132: 1016.

    Google Scholar 

  9. Pagni S, Denatale RW, Boltax RS. Takayasu’s arteritis: the middle aortic syndrome. Am J Surg 1996;62:409.

    Google Scholar 

  10. MSheikhzadeh A, Giannitsis E, Gehl, HB, et al. Acquired thromboatheromatous coarctation of the aorta: acquired coarctation of the aorta. Int J Cardiol 1999;69:87.

    Google Scholar 

  11. Tobian L. A viewpoint concerning the enigma of hypertension. Am J Med 1972;52:595-609.

    Google Scholar 

  12. Pemberton J, Sahn DJ. Imaging of the aorta. Int J Cardiol 2004; 97:53-60.

    Google Scholar 

  13. Ino T. Coarctation of the aorta. In: Section 7, chapter 18; Crawford MH, DiMarco JP. Cardiology. Mosby, 2001,1-8.

  14. Vriend JWJ, Mulder BJM. Late complications in patients after repair of aortic coarctation: implications for management. Int J Cardiol 2005;101:399-406.

    Google Scholar 

  15. Rao PS, Galal O, Wilson AD. Feasibility and effectiveness of repeated balloon dilatation of restenosed congenital obstructions after previous balloon valvuloplasty/angioplasty. Am Heart J 1996;132:403-7.

    Google Scholar 

  16. McCrindle BW, Jones TK, Morrow WR, et al. Acute results of balloon angioplasty of native coarctation versus recurrent aortic obstruction are equivalent. J Am Coll Cardiol 1996;28:1810-7.

    Google Scholar 

  17. Marcheix B, Lamarche Y, Perrault P, et al. Endovascular management of pseudo-aneurysms after previous surgical repair of congenital aortic coarctation. Eur J Cardiothor Surg 2007;31:1004-7.

    Google Scholar 

  18. Makaroun MS, Dillavou ED, Kes ST, et al. Endovascular treatment of thoracic aortic aneurysms: results of the phase II multicenter trial of the Gore TAG thoracic endoprosthesis. J Vasc Surg 2005;41: 1-9.

    Google Scholar 

  19. Bavaria JE, Appoo JJ, Makaroun MS, Verter J, et al. Endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: a multicenter comparative trial. J Thorac Cardiovasc Surg 2007;133:369-77.

    Google Scholar 

  20. Conrad MF, Cambria RP. Contemporary management of descending thoracic and thoracoabdominal aortic aneurysms: endovascular versus open. Circulation 2008;117:841-52.

    Google Scholar 

  21. Kutty S, Greenberg RK, Fletcher S, et al. Endovascular stent grafts for large thoracic aneurysms after coarctation repair. Ann Thorac Surg 2008;85:1332-8.

    Google Scholar 

  22. Adult congenital heart disease in the Netherlands, guidelines NVVC, 2000.

  23. Management of Grown up Congenital Heart Disease. The Task Force on the Management of Grown up Congenital Heart Disease of the European Society of Cardiology. Eur Heart J 2003;24:1035-84.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. www.bsl.nl/shop/

    B. E. Groenemeijer

Authors
  1. B. E. Groenemeijer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Bakker
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. W. Slis
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R. A. Waalewijn
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R. H. Heijmen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. E. Groenemeijer.

Additional information

Department of Cardiology, Gelre Hospitals, Apeldoorn, the Netherlands

Department of Radiology, Gelre Hospitals, Apeldoorn, the Netherlands

Department of Thoracic Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands

B.E. Groenemeijer Department of Cardiology, Gelre Hospitals, PO Box 9014, 7300 DS Apeldoorn, the Netherlands

Rights and permissions

Reprints and permissions

About this article

Cite this article

Groenemeijer, B.E., Bakker, A., Slis, H.W. et al. An unexpected finding late after repair of coarctation of the aorta. NHJL 16, 260–263 (2008). https://doi.org/10.1007/BF03086158

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03086158

Keywords:

Search

Navigation