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Bridging thoracic endovascular aneurysm repair for a late rupture following aortic coarctation angioplasty

Published online by Cambridge University Press:  08 September 2015

Nelson F. G. Oliveira ,
João A. Castro ,
José D. Martins ,
Anita Quintas ,
Sérgio Laranjo ,
Hugo Valentim ,
Fátima Pinto  and
Luís M. Capitão
Nelson F. G. Oliveira*
Affiliation:
Department of Angiology and Vascular Surgery, Santa Marta Hospital, Lisbon, Portugal Department of Angiology and Vascular Surgery, Divino Espírito Santo Hospital, Ponta Delgada, Portugal
João A. Castro
Affiliation:
Department of Angiology and Vascular Surgery, Santa Marta Hospital, Lisbon, Portugal
José D. Martins
Affiliation:
Department of Pediatric Cardiology, Santa Marta Hospital, Lisbon, Portugal
Anita Quintas
Affiliation:
Department of Angiology and Vascular Surgery, Santa Marta Hospital, Lisbon, Portugal
Sérgio Laranjo
Affiliation:
Department of Pediatric Cardiology, Santa Marta Hospital, Lisbon, Portugal
Hugo Valentim
Affiliation:
Department of Angiology and Vascular Surgery, Santa Marta Hospital, Lisbon, Portugal
Fátima Pinto
Affiliation:
Department of Angiology and Vascular Surgery, Santa Marta Hospital, Lisbon, Portugal
Luís M. Capitão
Affiliation:
Department of Angiology and Vascular Surgery, Santa Marta Hospital, Lisbon, Portugal
*
Correspondence to: N. F. Gomes Oliveira, Hospital do Divino Espírito Santo, Avenida D. Manuel I, 9500 Ponta Delgada, São Miguel Açores, Portugal. Tel: +296203000; Fax: +296203438; E-mail: nfgoliveira@sapo.pt
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Abstract

Introduction

Thoracic endovascular aneurysm repair has been employed to treat late complications after aortic coarctation correction. However, its use in children has seldomly been reported.

Case report

We present the case of a 15-year-old child who presented with a ruptured aneurysm of the descending aorta complicated later by an aortic-oesophageal fistula following aortic coarctation stenting that was managed with multiple bridging endovascular interventions until a definitive repair was performed.

Conclusion

Thoracic endovascular aneurysm repair may be used successfully as a bridging intervention to a definitive repair in children with life-threatening aortic complications following aortic coarctation repair.

Keywords

Aortic coarctationthoracic aneurysm rupturethoracic endovascular aneurysm repairaortic-oesophageal fistula
Type
Original Articles
Information
Cardiology in the Young , Volume 26 , Issue 5 , June 2016 , pp. 957 - 960
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Copyright
© Cambridge University Press 2015 

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