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Percutaneous repair of a pseudoaneurysm associated with coarctation of the aorta

Wael F Al-Husami1, Thomas Piemonte

  • 1Department of Cardiology, Lahey Clinic Medical Center, Tufts University School of Medicine, 41 Mall Road, Burlington, MA 01805, USA. wael.f.alhusami@lahey.org

The Journal of Invasive Cardiology
|October 3, 2008
PubMed

Insights

Adults with repaired congenital heart disease face unique challenges. This case report highlights the successful closure of a pseudoaneurysm in a repaired coarctation of the aorta using interventional techniques.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Adult Congenital Heart Disease

Background:

  • Congenital heart disease affects 1% of live births, with many patients surviving into adulthood.
  • Advances in pediatric cardiac surgery enable longer lifespans for these individuals.
  • Adults with repaired congenital heart disease present distinct clinical challenges for cardiologists.

Observation:

  • A case report details an adult patient with a pseudoaneurysm in a repaired coarctation of the aorta.
  • The pseudoaneurysm involved a tube graft used for aortic coarctation repair.
  • This presentation necessitated innovative interventional cardiology approaches.

Findings:

  • The study demonstrates the technical feasibility of occluding a pseudoaneurysm in a repaired coarctation of the aorta.
  • Various occluding devices available in the interventional laboratory were utilized.
  • The procedure involved closing a pseudoaneurysm within a tube graft.

Implications:

  • This case illustrates the successful and safe application of interventional techniques in managing complex adult congenital heart disease complications.
  • It underscores the importance of interventional cardiologists' adaptability and skill in using available devices.
  • Expertly performed, this approach offers a viable solution for pseudoaneurysm management in repaired coarctation of the aorta.

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