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Article

Stent graft implantation in an aortic pseudoaneurysm associated with a fractured Cheatham-Platinum stent in aortic coarctation

  • Dimitrij Kuhelj (a1), Pavel Berden (a1) and Tomaž Podnar (a2)
Abstract

We report a case of aortic pseudoaneurysm associated with a fractured bare Cheatham-Platinum stent following stenting for aortic coarctation. These complications were recognised 6 years after the implantation procedure and were successfully managed by percutaneous stent graft implantation. Staged approach for stent dilatation might prevent development of aortic pseudoaneurysms. In addition, careful follow-up is warranted after stenting for aortic coarctation, particularly in patients with recognised aortic wall injury.

Copyright
© Cambridge University Press 2015 
Corresponding author
Correspondence to: Dr T. Podnar, Department of Paediatrics, University Medical Centre Ljubljana, Bohoričeva ulica 20, 1000 Ljubljana, Slovenia. Tel: +386 1 5229 332; Fax: +386 1 5229 357; E-mail: tomaz.podnar@mf.uni-lj.si
References
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1. Forbes, TJ, Garekar, S, Amin, Z, et al. Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: a multi-institutional study. Catheter Cardiovasc Interv 2007; 70: 276–285.
2. Holzer, R, Qureshi, S, Ghai, A, et al. Stenting of aortic coarctation: acute, intermediate, and long-term results of a prospective multi-institutional registry – Congenital Cardiovascular Interventional Study Consortium (CCISC). Catheter Cardiovasc Interv 2010; 76: 553–563.
3. Carrozza, M, Santoro, G, Russo, MG, Caianiello, G, Calabro, R. Stress stent fracture: is stent angioplasty really a safe therapeutic option in native aortic coarctation. Int J Cardiol 2006; 113: 127–128.
4. Ledesma, M, Jauregui, R, Ceron, CK, et al. Stent fracture after therapy for aortic coarctation. J Invasive Cardiol 2003; 15: 719–722.
5. Kenny, D, Margey, R, Turner, MS, Tometzky, AJ, Walsh, KP, Martin, RP. Self-expanding and balloon-expandable covered stents in the treatment of aortic coarctation with or without aneurysm formation. Catheter Cardiovasc Interv 2008; 72: 65–71.
6. Khavandi, A, Bentham, J, Marlais, M, et al. Transcatheter and endovascular stent graft management of coarctation-related pseudoaneurysms. Heart 2013; 99: 1275–1281.
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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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