Predictors of aneurysmal formation after surgical correction of aortic coarctation

Aortic Valve Dysfunction and Aortic Dilation in Adults with Coarctation of the Aorta

“…32 Our findings of a larger aortic root and ascending aorta in patients with associated BAVs are consistent with prior reports suggesting that BAV is a predictor of aortic wall complications in subjects with CoA. 28,33 The association between systemic arterial hypertension and aortic complications, derived largely from study of older subjects with greater degree of atherosclerosis, remains controversial 28,34 and is not supported by our data, obtained largely from a current and younger adult population. Arch obstruction, associated with increased wall stress in the proximal aorta, was also not found in our analysis to impact aortic size.…”

Giant Aneurysm After Aortic Coarctation: Repair without Circulatory Arrest

“…2 The incidence of poststenotic aneurysm seems to vary depending on the surgical technique used: aortic resection with endto-end anastomosis is associated with a low incidence at around 3%, whereas the risk after subclavian flap angioplasty seems considerably higher at 17%. [3][4][5] Patch graft aortoplasty aneurysms, however, can occur in up to 30% of patients, as described in our case, and represent the most common aneurysms after coarctation repair. 6 Usually, such aneurysms develop directly at the site of previous repair and are more likely to occur if coarctation repair was performed after the age AORTIC ANEURYSM AFTER COARCTATION J CARD SURG 2010;25:560-562 of 13.…”

“…6 Usually, such aneurysms develop directly at the site of previous repair and are more likely to occur if coarctation repair was performed after the age AORTIC ANEURYSM AFTER COARCTATION J CARD SURG 2010;25:560-562 of 13. 3 Contrary to isolated recoarctation, aortoplasty aneurysms are rarely suited for endovascular management, both morphologically and because endovascular aneurysm repair (EVAR) is not recommended for such young patients due to the uncertainty of longterm outcomes and the need for lifelong radiologic surveillance. However, aortoplasty aneurysm may represent a life-threatening disease, particularly when arterial hypertension develops as this increases the risk of rupture.…”

Aortic Pseudo-Aneurysm: Cause of Life-Threatening Hemoptysis in a 13-Month-Old Child

“…6 Moreover, aneurysms can follow interventions or surgery performed for coarctation. 7,8 In this case, the infant neither had infective predisposing factors nor aortic coarctation. On chest radiography, the aneurysm had been designated as left upper zonal consolidation.…”