Faculty Collaboration Database

Aortic aneurysms: delayed complications of coarctation of the aorta repair using Dacron patch aortoplasty. J Thorac Imaging 2008 Nov;23(4):278-83

Date

02/11/2009

Pubmed ID

19204475

DOI

10.1097/RTI.0b013e3181824719

Scopus ID

2-s2.0-57749178686 (requires institutional sign-in at Scopus site)   5 Citations

Abstract

Coarctation of the aorta is a diaphragmlike ridge narrowing the lumen of the proximal descending aorta. Although surgical repair has proven to be a successful treatment of coarctation of the aorta, immediate and delayed postoperative complications are not rare. Of particular interest is the occurrence of aneurysms after Dacron patch aortoplasty--often decades after surgery. Delayed complication rates of up to 50% have been reported. We describe the clinical-radiologic presentations of 3 late complications of Dacron patch angioplasty: aortobronchopleural fistula, leaking pseudoaneurysm, and giant descending aortic aneurysm--all successfully treated with bypass grafts. Because of the high incidence of delayed complications, lifelong surveillance is necessary. The chest x-ray may be the first clue to a delayed complication. Knowledge of radiologic findings is helpful in the detection of complications-before they become symptomatic. Transesophageal echocardiography, computed tomography angiography, or magnetic resonance imaging with multiplanar reconstruction is diagnostic.

Author List

Piciucchi S, Goodman LR, Earing M, Nicolosi A, Almassi H, Tisol W, Shannon-Stone M

Author

G Hossein Almassi MD Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aortic Aneurysm
Aortic Coarctation
Aortography
Blood Vessel Prosthesis Implantation
Cardiopulmonary Bypass
Female
Humans
Male
Polyethylene Terephthalates
Radiography, Thoracic
Thoracotomy
Tomography, X-Ray Computed