Transcatheter Intervention For Severe Aortic Coarctation in a Patient With Uninterrupted Left-Sided Inferior Vena Cava Presenting With Recurrent Abdominal Pain

Alkashkari, Wail; Al-Husayni, Faisal; Althobaiti, Mohammed; Omeish, Attafah; Alqahtani, Saad

doi:10.7759/cureus.8204

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Re-CoA and its related uncontrolled BP may lead to heart failure, premature coronary artery disease, stroke, aortic dissection, and death. Endovascular thereby for re-CoA is a well-established therapeutic modality with excellent outcomes [ 10 - 11 ]. If treated conservatively, pseudoaneurysms are associated with 100% rupture in one reported series [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Late Complications After Previous Surgical Repair for Coarctation With Extra-Anatomic Bypass Graft: Report on Two Cases

Al-Husayni

Samman

Althobaiti

et al. 2021

Cureus

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Surgical correction of aortic coarctation (CoA) has been the standard treatment in infants and adolescents to prevent late consequences related to obstruction and distal hypoperfusion. Several surgical techniques for CoA repair have traditionally been applied. However, late complications, including re-CoA and pseudoaneurysm formation, are not uncommon. The incidence of complications is highly related to the type of initial surgery. Here, we are reporting two cases of late complications related to an infrequently used surgical technique, the extra-anatomical aortic bypass graft (EABG). The first case presented with pseudoaneurysm at the distal anastomosis site with the descending aorta and treated by endovascular stent graft. The second case presented with stenosis at the proximal anastomosis site with the left subclavian artery (LSCA) and treated medically upon the request of the patient.

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Section: Discussionmentioning

confidence: 99%

Late Complications After Previous Surgical Repair for Coarctation With Extra-Anatomic Bypass Graft: Report on Two Cases

Al-Husayni

Samman

Althobaiti

et al. 2021

Cureus

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“…Several surgical techniques for CoA repair have been applied traditionally, which include resection with end-to-end anastomosis, extended end-to-end anastomosis, prosthetic patch aortoplasty, subclavian artery flap aortoplasty, interposition tube graft, and extra-anatomical aortic bypass [ 2 ]. Currently, adults presenting late are generally treated with balloon-expandable stents, with excellent immediate and long-term outcomes [ 1 , 3 ]. Irrespective of the kind of surgical technique used initially, late post-repair complications are not uncommon, and often occur decades later.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Treatment for Pseudoaneurysms After the Surgical Repair of Aortic Coarctation

Alkashkari¹,

Al-Husayni²,

Alfouti³

et al. 2020

Cureus

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In this report, we describe the case of a 28-year-old male who presented to our hospital with shortness of breath and sudden, severe central chest pain that radiated across his chest and back. The patient had a history of coarctation of the aorta (CoA) repair using Dacron patch aortoplasty at the age of 10 years, and he had been lost to clinical follow-up. A chest X-ray (CXR) revealed the widening of the upper mediastinum. He underwent emergency CT angiography, which demonstrated extensive mediastinal hematoma and contrast leaking from a 4x12 cm complex pseudoaneurysm of the proximal thoracic descending aorta. After the heart-team meeting, the transcatheter approach was deemed more feasible and safer than a surgical approach. The patient was taken to cardiac catheterization laboratory and, under general anaesthesia, we successfully implanted a tapered (28 mm - 26 mm) x 150 mm Valiant Thoracic Stent Graft with the Captivia Delivery System (Medtronic Vascular, Santa Rosa, CA). In this case, we demonstrated the feasibility and safety of using a stent graft to treat late surgical complications after CoA repair, which are not uncommon.

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Association of bilateral inferior vena cava with azygos and hemiazygos continuation and aortic coarctation in a child

Krasic,

Topic,

Vukomanovic

2023

Srp Arh Celok Lek

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Introduction. Developmental variations of the inferior cava vein (IVC) rarely cause symptoms, and they were detected during routine examinations performed for other reasons. The prevalence in the general population is between 0.07% and 8.7%. Various anomalies of the IVC can be seen depending on abnormal regression or abnormal persistence of embryonic veins. They are usually associated with more complex intracardiac and atrioventricular septal defects, partial anomalous pulmonary venous connection, and pulmonary atresia. Case Outline. We presented the 18th-month-old patient with double IVC, IVC interruption, azygos, and hemiazygos continuation associated with aortic coarctation. The vein malformation was discovered during percutaneous balloon angioplasty of the aortic re-coarctation and confirmed by using cross-sectional imaging modalities. Our patient had no symptoms of IVC malformation. Conclusion. In clinical practice, double IVC should be suspected in patients with recurrent pulmonary emboli. Another important point in practice is the identification of those anomalies to avoid potential complications of retroperitoneal surgery and cannulation during cardiac surgery

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Transcatheter Intervention For Severe Aortic Coarctation in a Patient With Uninterrupted Left-Sided Inferior Vena Cava Presenting With Recurrent Abdominal Pain

Cited by 3 publications

References 8 publications

Late Complications After Previous Surgical Repair for Coarctation With Extra-Anatomic Bypass Graft: Report on Two Cases

Late Complications After Previous Surgical Repair for Coarctation With Extra-Anatomic Bypass Graft: Report on Two Cases

Endovascular Treatment for Pseudoaneurysms After the Surgical Repair of Aortic Coarctation

Association of bilateral inferior vena cava with azygos and hemiazygos continuation and aortic coarctation in a child

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