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Aortic recoarctation and pseudoaneurysm five decades after repair
Author(s) -
Lim Brian,
Forest Stephen J.,
Schultz Megan L.,
Lipsitz Evan,
Michler Robert E.
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14201
Subject(s) - medicine , pseudoaneurysm , coarctation of the aorta , aorta , surgery , aortic repair , thoracic aorta , population , radiology , aneurysm , environmental health
Background Coarctation of the aorta is a congenital cardiac defect characterized by a narrowing of the proximal thoracic aorta. Despite excellent long‐term results, surgical repair is rarely complicated by recoarctation. Methods/Results We describe a case with the longest time to reintervention to date, featuring surgical repair of delayed aortic recoarctation and pseudoaneurysm 53 years after the initial operation. Discussion This case emphasizes the need for lifelong surveillance in this patient population and exemplifies a multidisciplinary approach in evaluating treatment options of complex aortic pathology, including open and endovascular considerations.