Giant Aneurysms Associated with Aortic Coarctation: Management Challenges and Options

The management of giant aneurysms associated with aortic coarctation is challenging. The location, the size of the aneurysm, whether it has ruptured, previous coarctation repair, the presence of stenosis, and the ascending and distal aortic pathology will all influence the treatment approach. With m...

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Bibliographic Details
Published in:Pediatric cardiology 2010-05, Vol.31 (4), p.521-525
Main Authors: Vohra, Hunaid A., Odurny, Allan, Mandal, Subhendu, Viola, Nicola, Kaarne, Markku, Salmon, Tony, Peebles, Charles, Haw, Marcus P., Veldtman, Gruschen
Format: Article
Language:English
Subjects:
Adolescent
Adult
Algorithms
Anastomosis, Surgical
Aneurysm, False - diagnosis
Aneurysm, False - surgery
Aneurysm, Ruptured - diagnosis
Aneurysm, Ruptured - surgery
Aneurysms
Angioplasty
Aorta, Thoracic - abnormalities
Aortic Aneurysm, Thoracic - diagnosis
Aortic Aneurysm, Thoracic - surgery
Aortic coarctation
Aortic Coarctation - diagnosis
Aortic Coarctation - surgery
Aortic Valve - abnormalities
Aortic Valve - surgery
Aortography
Blood Vessel Prosthesis Implantation
Cardiac Surgery
Cardiology
Care and treatment
Echocardiography
Equipment Failure
Female
Follow-Up Studies
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Magnetic Resonance Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Polyethylene Terephthalates
Polytetrafluoroethylene
Postoperative Complications - diagnosis
Postoperative Complications - surgery
Reoperation
Stents
Thoracotomy
Vascular Surgery
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Description
Summary:The management of giant aneurysms associated with aortic coarctation is challenging. The location, the size of the aneurysm, whether it has ruptured, previous coarctation repair, the presence of stenosis, and the ascending and distal aortic pathology will all influence the treatment approach. With more patients surviving to adulthood after early coarctation repair, a better understanding of the anatomy, pathophysiology, and radiological findings of coarctation-related aneurysms is imperative to providing sound care. We present here our experience with a series of giant aneurysms of the aorta, all with a background of underlying aortic coarctation. We highlight the decision-making process and review current management trends.
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-010-9638-4